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Kenneth Ha, DO
Family Medicine Physician in Glen Ellyn, Illinois
NPI 1497975502

Kenneth Ha is a Family Medicine Physician based in Glen Ellyn, IL. Kenneth Ha practices in Glen Ellyn, IL and has the professional credentials of DO. The NPI Number for Kenneth Ha is 1497975502 and holds a License No. 036116719 (Illinois).

The current practice location address for Kenneth Ha is 444 N Park Blvd, Glen Ellyn, IL and can be reached out via phone at 630-469-0045 and via fax at 630-469-0645.

Location: 444 N Park Blvd, Glen Ellyn, IL, 60137-4622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497975502
Provider Name
Kenneth Ha
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
444 N Park Blvd, Glen Ellyn, IL, 60137-4622
Phone Number
630-469-0045
Fax Number
630-469-0645
Provider Enumeration Date
04/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3631498336019001 01 IL CDPG HFS PAYEE ID
363149833 01 IL TAX ID
036116719 05 IL
0222075 01 IL BLUE CROSS GROUP NUMBER
1033149844 01 ORGANIZATION NPI
institution
Provider Business Practice Location Address Details
Address
444 N Park Blvd
City
Glen Ellyn
State
Illinois
Zip
60137-4622
Phone Number
630-469-0045
Fax Number
630-469-0645
person
Provider Business Mailing Address Details
Address
444 N Park Blvd
City
Glen Ellyn
State
Illinois
Zip
60137-4622
Phone Number
630-469-0045
Fax Number
630-469-0645
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036116719 (Illinois)
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 is not limited by age, sex, organ system, or disease entity.
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