Individual
DR. JILLIAN RENEA KASKAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 E IL ROUTE 38, ROCHELLE, IL 61068-9694
(779) 696-9050
(815) 561-0914
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036138234
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036138234
—
IL
Enumeration date
03/22/2012
Last updated
05/05/2023
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