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

Kenneth Ha, DO

Individual provider Family Medicine Physician · NPI 1497975502

Kenneth Ha, DO is a Family Practice in Glen Ellyn, Illinois. Qualified in 2004, 22 years ago. Practices with Central Dupage Physician Group, a 1,094-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

444 N Park Blvd
Glen Ellyn, IL 60137-4622
Phone: (630) 469-0045
Fax: (630) 469-0645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036116719 (IL)

Record details

NPI number1497975502
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 30, 2007
Last updated in NPPESApril 4, 2013
Mailing address444 N Park Blvd, Glen Ellyn, IL 60137-4622

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Central Dupage Physician Group — 1094 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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