JESSICA SORENSEN (NPI# 1023370699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023370699 |
| Entity Type | Individual |
| Full Name | JESSICA SORENSEN |
| Credential | PA |
| Practice Address |
350 N Kinzie Ave Bradley IL 60915 |
| Mailing Address |
9701 W Higgins Rd Ste 270 Rosemont IL 60018-4703 |
| Practice Telephone | 8153489320 |
| Mailing Telephone | 8476530145 |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2018-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085004312 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407331424 | Jessica Sorensen | Behavior Technician | 1111 Baker St, Costa Mesa, CA 92626-4138 | 2018-09-25 |
| 1861938482 | Jessica Sorensen | Counselor | 2751 Buford Hwy Ne Ste 700, Atlanta, GA 30324-5510 | 2017-01-07 |
| 1992174270 | Jessica Marie Sorensen | Social Worker | 1 Gustave L Levy Pl, New York, NY 10029-6574 | 2015-09-17 |
| 1275789984 | Jessica Sorensen | Physician Assistant | 206 W County Line Rd Ste 340, Highlands Ranch, CO 80129-2321 | 2008-08-13 |
| 1265408405 | Jessica Michelle Sorensen | Physical Therapist | 16611 S 40th St, Suite 130, Phoenix, AZ 85048-0562 | 2006-02-27 |
| Street Address |
350 N KINZIE AVE |
| City | BRADLEY |
| State | IL |
| Zip Code | 60915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679994560 | Jordan Nicole Kinstner | Specialist/Technologist | 350 N Kinzie Ave, Bradley, IL 60915-1221 | 2013-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1679826309 | Heather Sevier | Specialist/Technologist | 328 S Dearborn Ave, Bradley, IL 60915 | 2012-10-18 |
| 1013266584 | Arlene De Leon Delacruz | Physical Therapist | 400 South Kennedy Dr., Bradley, IL 60915 | 2012-08-30 |
| 1184993164 | Debra Malone | Behavioral Analyst | 136-142 1/2 South Clinton, Bradley, IL 60915 | 2011-12-21 |
| 1376840421 | Joshua R Johnson | Physician Assistant | 400 S. Kennedy, Bradley, IL 60915 | 2011-02-24 |
| 1801192133 | Eloise Adams | Behavioral Analyst | 136 142 1/2 South Clinton, Bradley, IL 60915 | 2011-02-03 |
| 1386948685 | Rico J Hale | Behavioral Analyst | 136 142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1558665851 | Joyce A Bollhorst | Behavioral Analyst | 136-142 South Clinton, Bradley, IL 60915 | 2010-12-29 |
| 1538469655 | Kankakee Valley Chiropractic | Chiropractor | 300 North Kennedy Drive, Suite 2, Bradley, IL 60915 | 2010-10-22 |
| 1649442849 | Heidi Kathleen Hynes Nuttall | Physician Assistant | 400 Kennedy Dr, Ste 100, Bradley, IL 60915 | 2008-03-27 |
| Find all providers in zip 60915 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196533 | Samantha M Corey | Physician Assistant | 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 | 2019-10-22 |
| 1366092876 | Margaret Curtin | Physician Assistant | 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 | 2019-09-17 |
| 1447763024 | Devon Saini | Physician Assistant | 400 S Kennedy Dr, Bradley, IL 60915-2682 | 2017-11-06 |
| 1659809440 | Taylor R Atkinson | Physician Assistant | 400 S Kennedy Dr Ste 100, Bradley, IL 60915-2685 | 2017-05-24 |
| 1275085888 | Kristen J Burton | Physician Assistant | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2016-10-30 |
| 1992103097 | Adriana Lingl | Physician Assistant | 400 S Kennedy Dr, Suite 100, Bradley, IL 60915-2682 | 2014-12-05 |
| 1558661272 | Orthopedic Associates of Kankakee | Physician Assistant | 400 S Kennedy Dr, Bradley, IL 60915-2682 | 2010-10-28 |
| 1730331711 | Kyle A Denny | Physician Assistant | 400 S Kennedy Dr Ste 700, Bradley, IL 60915-2639 | 2008-10-21 |
| 1497883037 | Shannon L Trunk - Brokop | Physician Assistant | 400 S Kennedy Dr, Ste 900, Bradley, IL 60915-2682 | 2007-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.