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

Lee Michael De Dore, PA

Individual provider Surgical Physician Assistant · NPI 1790017085

Lee Michael De Dore, PA is a Physician Assistant in Winfield, Illinois. Qualified in 2009, 17 years ago. Practices with Orthomidwest, PLLC, a 537-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

25 N Winfield Rd Ste 505
Winfield, IL 60190
Phone: (630) 682-5653
Fax: (630) 682-8946
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085003692 (IL)

Record details

NPI number1790017085
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 11, 2010
Last updated in NPPESJune 16, 2017
Mailing address1 Westbrook Corporate Ctr, Ste 240, Westchester, IL 60154-5745

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Orthomidwest, Pllc — 537 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Winfield