Kenton Lee (NPI# 1366426397, PAC ID# 6507999810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1366426397 |
| PAC ID by PECOS | 6507999810 |
| Professional Enrollment ID | I20100805001010 |
| Full Name | Kenton Lee |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Address |
1221 E State St Rockford IL 61104-2231 |
| Phone Number | 8159721000 |
| Gender | M |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3072422716 |
| Number of Group Practice Members | 792 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140228 | SWEDISH AMERICAN HOSPITAL |
| 140150 | UNIVERSITY OF ILLINOIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1221 E State St, Rockford, IL 61104-2231 | 8159721000 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Physicians | 919 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Karam | Orthopedic Surgery | The Board of Trustees of The University of Illinois | 835 S Wolcott Ave Mc, 844 Uic Orthopedics Sports Medicine, Chicago, IL 60612-3748 |
| Adam Kosloff | Internal Medicine | The Board of Trustees of The University of Illinois | 840 S Wood St Mc, 787 Uic Medicine, Chicago, IL 60612-4325 |
| Claire Thesing | Family Medicine | The Board of Trustees of The University of Illinois | 1919 W Taylor St, Suite 663, Chicago, IL 60612-7246 |
| Nicholas F Callahan | Maxillofacial Surgery | The Board of Trustees of The University of Illinois | 801 S Paulina St, Chicago, IL 60612-7210 |
| Ayman Al-hendy | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 820 S Wood St Mc, 808 Uic Obstetrics and Gynecology, Chicago, IL 60612-4325 |
| Mario Spaggiari | General Surgery | The Board of Trustees of The University of Illinois | 840 S Wood St, Uic Model Clinics, Chicago, IL 60612-4325 |
| Rayan A Elkattah | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 1 Illini Dr, Peoria, IL 61605-2576 |
| Jennifer Dugal | Nurse Practitioner | The Board of Trustees of The University of Illinois | 808 S Wood St Mc, 624 Uic Dermatology, Chicago, IL 60612-7300 |
| Katherine E Cappitelli | Nurse Practitioner | The Board of Trustees of The University of Illinois | 808 S Wood St, 722 Uic Emergency Medicine, Chicago, IL 60612-7300 |
| Robison Chan | Ophthalmology | The Board of Trustees of The University of Illinois | 1855 W Taylor St, Mc648, Chicago, IL 60612-7242 |
| Street Address |
1221 E STATE ST |
| City | ROCKFORD |
| State | IL |
| Zip | 61104-2231 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karenmarie K Meyer | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 1221 E State St, Univ Family Hlth Ctr, Rockford, IL 61104-2231 |
| Inis J Bardella | Family Medicine | The Board of Trustees of The University of Illinois | 1221 E State St, Uic Primary Care Clinic, Rockford, IL 61104-2231 |
| Mitchell S King | Family Medicine | The Board of Trustees of The University of Illinois | 1221 E State St, Rockford, IL 61104-2231 |
| Mary Jo Ironside | Family Medicine | The Board of Trustees of The University of Illinois | 1221 E State St, Rockford, IL 61104-2231 |
| Gurpreet K Boparai | Family Medicine | The Board of Trustees of The University of Illinois | 1221 E State St, Univ Family Hlth Ctr, Rockford, IL 61104-2231 |
| Tsailing Liao | Family Medicine | The Board of Trustees of The University of Illinois | 1221 E State St, Uic Primary Care Clinic, Rockford, IL 61104-2231 |
| Carrie L Sharkey | Family Medicine | The Board of Trustees of The University of Illinois | 1221 E State St, Univ Family Hlth Ctr, Rockford, IL 61104-2231 |
| Sherry A Falsetti | Psychologist, Clinical | The Board of Trustees of The University of Illinois | 1221 E State St, Rockford, IL 61104-2231 |
| Beth A Schleicher | Obstetrics/gynecology | The Board of Trustees of The University of Illinois | 1221 E State St, Univ Family Hlth Ctr, Rockford, IL 61104-2231 |
| Joseph E Ross | Family Medicine | The Board of Trustees of The University of Illinois | 1221 E State St, Rockford, IL 61104-2231 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carlos J Aguero Medina | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Laken J Sisson | Clinical Social Worker | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Susan C Winterbauer | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Andrea Zajac | Clinical Social Worker | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Leslie A Dean | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Jessika Epperson | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Cora Marie Reynolds | Nurse Practitioner | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| William Sandoval | Family Medicine | Oak Street Health Physicians Group PC | 301 E State St, Rockford, IL 61104-1012 |
| Daramis R Toribio | Nurse Practitioner | Crusaders Central Clinic Association | 1100 Broadway, Rockford, IL 61104-1429 |
| Ashley N Rahn | Nurse Practitioner | Crusaders Central Clinic Association | 1100 Broadway, Rockford, IL 61104-1429 |
| Find all physicians in zip 61104 | |||
| City | ROCKFORD |
| Zip Code | 61104 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROCKFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kenton Lee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.