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

Dr. Kenyatta Jamal Frazier, MD

Individual provider Emergency Medicine Physician · NPI 1023303138

Dr. Kenyatta Jamal Frazier, MD is an Emergency Medicine in Chicago, Illinois. Qualified in 2011, 15 years ago. Practices with Rockford Emergency Physicians, LLC, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Florida, Illinois and Indiana and 4 more.

Years since qualifying
15
Licensed in
CA, FL, IL, IN, LA, SC
In the registry since
2011
Specialties on file
9
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

2701 W 68th St
Chicago, IL 60629-1813
Phone: (773) 884-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Riverside Dr, Waupaca, WI 54981-1943 — (715) 258-1000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 311112 (LA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence Q5652 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036.135877 (IL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 81776 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01096292A (IN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A158054 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME125282 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MMD.38329MD (SC)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125-059278 (IL)

Record details

NPI number1023303138
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2011
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Rockford Emergency Physicians, Llc — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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