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

Kenneth K Lee, MD

Individual provider Family Medicine Physician · NPI 1043245970

Kenneth K Lee, MD is a Family Practice in Glen Ellyn, Illinois. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1997, 29 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
29
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IL
In the registry since
2006
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

885 Roosevelt Rd
Glen Ellyn, IL 60137-6141
Phone: (630) 545-3760
Fax: (630) 545-3769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036100509 (IL)

Record details

NPI number1043245970
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESApril 10, 2013
Mailing address885 Roosevelt Rd, Glen Ellyn, IL 60137-6141

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1997 (29 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Glen Ellyn