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

Sophia Hope Kannenberg O' Bryan, PA-C

Individual provider Physician Assistant · NPI 1801379383

Sophia Hope Kannenberg O' Bryan, PA-C is a Physician Assistant in Libertyville, Illinois. Qualified in 2018, 8 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. 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

720 Florsheim Dr
Libertyville, IL 60048-3757
Phone: (847) 247-4000
Fax: (847) 234-2090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 E Rollins Rd, Round Lake Beach, IL 60073-2228 — (847) 324-3976

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-006740 (IL)

Record details

NPI number1801379383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 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 Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Libertyville