Dr KENTON LEE is a male medical professional, specializing in Family Medicine. He graduated in 1992.
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
1221 E STATE ST
ROCKFORD
IL
611042231
Tel: 8159721000
| Npi | 1366426397 |
| Pac Id | 6507999810 |
| Professional Enrollment Id | I20100805001010 |
| Last Name | LEE |
| First Name | KENTON |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| Group Practice Pac Id | 3072422716 |
| Number Of Group Practice Members | 790 |
| Line 1 Street Address | 1221 E STATE ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | ROCKFORD |
| State | IL |
| Zip Code | 611042231 |
| Phone Number | 8159721000 |
| Hospital Affiliation Ccn 1 | 140228 |
| Hospital Affiliation Lbn 1 | SWEDISH AMERICAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 140150 |
| Hospital Affiliation Lbn 2 | UNIVERSITY OF ILLINOIS HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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