Chau Minh Ha, NP-C
Individual provider Active NPI Family Nurse Practitioner · Highwood, IL
NPI 1447735923 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1447735923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.018303 (IL)
- Practice address
- 50 Pleasant Ave
Highwood, IL 60040 - Phone
- (847) 432-9142
- NPI assigned
- Oct 1, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vitae Health Medical Illinois, PLLC
Practice addresses (Care Compare)
270 Skokie Blvd
Northbrook, IL 60062-1612
Phone (847) 498-9320
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190411002587 | IL | Practitioner - Nurse Practitioner | 1850632233 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.018303 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Vitae Health Medical Illinois, PLLC | Current |
Accepting new patients |
Locations
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
66 W Oak St
Chicago, IL 60610
Phone (312) 337-5400
300 Waukegan Rd
Deerfield, IL 60015
Phone (847) 580-8287
8200 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-9850
50 Pleasant Ave
Highwood, IL 60040
Phone (843) 432-9142
6631 N Milwaukee Ave
Niles, IL 60714
Phone (847) 588-4131
270 Skokie Blvd
Northbrook, IL 60062
Phone (773) 620-1974
1601 N Western Ave
Park Ridge, IL 60068
Phone (773) 960-1163
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209.018303 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.018303 | IL | Yes |
Addresses
Primary practice location
50 Pleasant Ave
Highwood, IL 60040
Mailing address
5132 N Elston Ave
Chicago, IL 60630-2429
Phone (847) 235-6130
Other practice location 1
2323 W Granville Ave
Chicago, IL 60659-2911
Phone (773) 547-2121
Other practice location 2
2323 W Granville Ave
Chicago, IL 60659-2911
Phone (773) 547-2121
Other providers in Highwood, IL
- Family Dentistry of Highwood
- Fenix Family Health Center Inc.
- Karla Ann Giese
- Hilary Sartain Grimm
- Turcan Babek Guvener
- Kelly Ha
- Highland Park Health Care Center, Inc.
- Highland Park Nursing & Rehab Center LLC
- Highland Park Nursing & Rehab Center LLC
- Rebecca Hinsley
All providers in Highwood, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.