| Doctor Name: | JILLIAN ROSE KENT |
| NPI Number: | 1013316280 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | |
| Business Practice Address: | 801 S Milwaukee Ave Libertyville, IL - 600483204 |
| Business Phone Number: | 4142906720 |
| Business Fax Number: | 4142906755 |
| Mailing Address: | 111 E Wisconsin Ave, Suite 2000 MILWAUKEE |
| State: | WI |
| Postal Code: | 532024815 |
| Phone Number: | 4142906720 |
| Fax Number: | 4142906755 |
| NPI Enumeration Date: | 08/13/2014 |
| NPI Last Update Date: | 10/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |