Kenneth Ha is a Family Medicine in Glen Ellyn, Illinois. Kenneth Ha practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenneth Ha is 1497975502. The last update date is 2013-04-04.
Kenneth Ha's current location address is 444 N Park Blvd, Glen Ellyn, Illinois. You can contact this provider via phone number 6304690045 and fax number 6304690645. The mailing address for Kenneth Ha is 444 N Park Blvd, Glen Ellyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Ha |
|---|---|
| Address | 444 N Park Blvd, Glen Ellyn, Illinois |
| Phone Number | 6304690045 |
| Fax Number | 6304690645 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1497975502 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | 444 N Park Blvd |
|---|---|
| City | Glen Ellyn |
| State | Illinois (IL) |
| Post Code | 601374622 |
| Phone Number | 6304690045 |
| Fax Number | 6304690645 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36116719 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363149833601900 | IL | CDPG HFS PAYEE ID | |
| 363149833 | IL | TAX ID | |
| 36116719 | IL | -- | |
| 222075 | IL | BLUE CROSS GROUP NUMBER | |
| 1033149844 | ORGANIZATION NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Ha by the Centers for Medicare & Medicaid Services?
The Kenneth Ha has been issued the NPI (National Provider Identifier) 1497975502, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kenneth Ha is physically located?
The Kenneth Ha is physically situated at the following address: 444 N Park Blvd, Glen Ellyn, IL, 601374622.
What is the area of specialization for Kenneth Ha, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Ha is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497975502 to Kenneth Ha?
The Centers for Medicare & Medicaid Services originally issued the 1497975502 to Kenneth Ha on 2007-04-30.
When was the information regarding Kenneth Ha, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Ha, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-04.