Individual
DANIEL KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(708) 427-9600
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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