Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mia Sorkin Kehoe, PA-C

Individual provider Physician Assistant · NPI 1720564891

Mia Sorkin Kehoe, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2018, 8 years ago. Practices with Ny Society for the Relief of Ruptured and Crippled Maintaining, a 175-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5841 S Maryland Ave # MC2050
Chicago, IL 60637-1443
Phone: (773) 702-6123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006623 (IL)

Record details

NPI number1720564891
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 12, 2018
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ny Society For The Relief Of Ruptured And Crippled Maintaining — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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