Individual provider Active NPI

Ha-Il Lee, DC, MSOM, LAC

  • Chiropractor
  • Joliet, IL
National Provider Identifier
1720468952
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012808 Issued in IL
Practice address
333 N Hammes Ave Ste 107
Joliet, IL 60435-8119
Phone
(815) 705-6246
Fax
(855) 641-2321
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001256 IL
Orthotic Fitter 225000000X C53612 IL
Durable Medical Equipment & Medical Supplies 332B00000X S62117 IL
Chiropractor 111N00000X 038012808 IL Primary

Addresses

Primary practice location

333 N Hammes Ave Ste 107
Joliet, IL 60435-8119

Mailing address

333 N Hammes Ave Ste 107
Joliet, IL 60435-8119
Phone (815) 705-6246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619000402 IL Practitioner - Chiropractic 2163733908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 N Hammes Ave
Suite 107
Joliet, IL 60435-8119
Phone (815) 705-6246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012808ILMDChiropractor
198001256ILMDAcupuncturist
C53612ILMDOrthotic Fitter
S62117ILMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Riverone Health & Wellness LLC Chiropractor CurrentSince May 26, 2015 Accepting new patients
Riverone Health & Wellness LLC Chiropractor CurrentSince Jun 9, 2015 Accepting new patients
Riverone Health & Wellness Acupuncturist Past Accepting new patients

Locations

333 N Hammes Ave
Ste 107
Joliet, IL 60435
Phone (815) 705-6246

370 Houbolt Rd
Ste 101
Joliet, IL 60431
Phone (815) 725-3465

10 Fairlane Dr
Ste 103
Joliet, IL 60435
Phone (630) 869-1015

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1720468952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N HAMMES AVE STE 107",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358119",
            "telephone_number": "815-705-6246",
            "fax_number": "855-641-2321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N HAMMES AVE STE 107",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358119",
            "telephone_number": "815-705-6246",
            "fax_number": "855-641-2321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HA-IL",
        "name_prefix": "Dr.",
        "credential": "DC, MSOM, LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001256",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "IL",
            "license": "C53612",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "S62117",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.