NPIMap

Individual provider Active NPI

Hyo Joon Cha, FNP

  • Family Nurse Practitioner
  • Bolingbrook, IL
National Provider Identifier
1770060394
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.017533 Issued in IL
Practice address
235 Remington Blvd Ste E
Bolingbrook, IL 60440-3685
Phone
(630) 771-1201
NPI assigned
Jul 26, 2018
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.017533 IL Primary

Addresses

Primary practice location

235 Remington Blvd Ste E
Bolingbrook, IL 60440-3685

Mailing address

5909 W 35TH St
Cicero, IL 60804-4163
Phone (708) 298-4802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230227001774 IL Practitioner - Nurse Practitioner 4981077724 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Hansa Medical Groupe PLLCGroup PAC ID 5092881417, 40 clinicians

Practice addresses (Care Compare)

335 Illinois St
Crystal Lake, IL 60014-3618
Phone (815) 459-7791

5250 Old Orchard Rd
Suite 300
Skokie, IL 60077-4462
Phone (847) 920-0902

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.017533ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hansamssp LLC Internal Medicine CurrentSince Jan 1, 2026 Accepting new patients
Post Acute Specialists, LLC Internal Medicine CurrentSince Feb 5, 2026 Accepting new patients
Vpa PC Internal Medicine Current Accepting new patients
I.Desai & R. Gokani, M.D.,S.C. Internal Medicine Current Accepting new patients
I.Desai & R.Gokani,M.D.,S.C. Internal Medicine Current Accepting new patients
Complexcare Medical Group Midwest H PLLC Internal Medicine CurrentSince Jul 14, 2025 Accepting new patients
Vpa PC Internal Medicine CurrentSince Feb 1, 2023 Accepting new patients
Theoria Medical Internal Medicine CurrentSince Aug 11, 2024 Accepting new patients
Vpa PC CurrentSince Feb 1, 2023 Accepting new patients

Locations

235 Remington Blvd
Ste E
Bolingbrook, IL 60440
Phone (630) 771-1201

5909 W 35th St
Cicero, IL 60804
Phone (708) 298-4802

335 Illinois St
Crystal Lake, IL 60014
Phone (815) 459-7791

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

Organizations & group practices 10

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

Hospital & facility affiliations 10

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1770060394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 W 35TH ST",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608044163",
            "telephone_number": "708-298-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 REMINGTON BLVD STE E",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403685",
            "telephone_number": "630-771-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "HYO JOON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.