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

Dr. Kenneth Peter Justesen, DO

Individual provider Anesthesiology Physician · NPI 1174607121

Dr. Kenneth Peter Justesen, DO is an Anesthesiology in Rockford, Illinois. Graduated from Midwestern University, Chicago College of Osteopathic Med in 1991, 35 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
35
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL
In the registry since
2006
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

5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone: (815) 398-9491
Fax: (815) 381-7498
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036088819 (IL)

Record details

NPI number1174607121
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing addressPo Box 735263, Chicago, IL 60673-5263

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 1991 (35 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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