# MRS. JILL RENEE SOBCZYK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487783270
- **Gender:** F
- **Credential:** P.A.-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | — | Yes |
| 363AM0700X | Medical Physician Assistant | 001791 | IA | — |

## Other

- **Enumeration date:** 03/05/2007
- **Last updated:** 05/04/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001791 | LICENSE NUMBER | IA |
| 01 | — | 1053300020 | GROUP NPI NUMBER | IA |
| 01 | — | 51011042 | STATE CONTROLLED SUBSTANC | IA |