Ha, Kenneth

Ha, Kenneth is an individual health care provider with primary practice located at 444 N Park Blvd , Glen Ellyn IL 60137-4622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ha, Kenneth can be contacted via phone (630) 469-0045.

Contact Information

Primary practice address
444 N Park Blvd Glen Ellyn IL 60137-4622
Phone: (630) 469-0045
Fax: (630) 469-0645
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036116719 Illinois

Profile Details

NPI number 1497975502
LBN Legal business name Ha, Kenneth
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2007
Last updated Apr 4th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497975502 NPPES
Illinois Other 3631498336019001 CDPG HFS PAYEE ID
Illinois Other 363149833 CDPG HFS PAYEE ID
Illinois MEDICAID 036116719 CDPG HFS PAYEE ID
Illinois Other 0222075 CDPG HFS PAYEE ID
Illinois Other 1033149844 CDPG HFS PAYEE ID

Popular Providers