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

Dr. Kenton Lee, MD

Individual provider Family Medicine Physician · NPI 1366426397

Dr. Kenton Lee, MD is a Family Practice in Rockford, Illinois. Qualified in 1992, 34 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
34
Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3775 N Mulford Rd
Rockford, IL 61114-5632
Phone: (779) 696-9202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1221 E State St, Rockford, IL 61104-2231 — (815) 972-1000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036089913 (IL)

Record details

NPI number1366426397
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESJune 26, 2024
Certification dateNovember 2, 2023
Mailing address1601 Parkview Ave, Credentialing S200c, Rockford, IL 61107-1822

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rockford