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

Dr. Kenneth Guillotte, DO

Individual provider Emergency Medicine Physician · NPI 1649709668

Dr. Kenneth Guillotte, DO is an Emergency Medicine in Springfield, Illinois. Qualified in 2017, 9 years ago. Practices with Passavant Memorial Area Hospital Association, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

701 N 1st St Ste D220
Springfield, IL 62702-3757
Phone: (217) 545-3518
Fax: (217) 545-2711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 125069953 (IL)

Record details

NPI number1649709668
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 5, 2017
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address701 N 1st St, Springfield, IL 62781-9679

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Passavant Memorial Area Hospital Association — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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