Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Sean Creston Soare, PA-C

Individual provider Physician Assistant · NPI 1548242738

Mr. Sean Creston Soare, PA-C is a Physician Assistant in Rockford, Illinois. Qualified in 2001, 25 years ago. Practices with Rockford Health Physicians, a 521-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
25
Licensed in
IL, WI
In the registry since
2005
Specialties on file
2
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

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone: (815) 971-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2902 McFarland Rd, Rockford, IL 61107-6801 — (815) 316-2100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002227 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 7396-23 (WI)

Record details

NPI number1548242738
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESJune 25, 2025
Certification dateJune 25, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Rockford Health Physicians — 521 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rockford