NGU MD. WELLNESS LTD. NPI 1942585468

NPI Information

  • NPI: 1942585468
  • Provider Name: NGU MD. WELLNESS LTD.
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 400 E RANDOLPH ST
    APT 2711
    CHICAGO, IL
    ZIP 60601
  • Phone: (708) 250-8424

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NPI Details

NGU MD. WELLNESS LTD. is an addiction medicine internal medicine in Chicago, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. NGU MD. WELLNESS LTD. NPI is 1942585468. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 E RANDOLPH ST
APT 2711
CHICAGO, IL
ZIP 60601-329
Phone: (708) 250-8424

The provider's authorized official is Lawrence N. Ngu .
The authorized official title is Medical Director and has the following contact phone number (708) 250-8424.

The enumeration date for this NPI number is 10/15/2011 and was last updated on 10/20/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RA0401XInternal MedicineAddiction Medicine036092049ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1K14846OTHERILLINOISMEDICARE ID TYPE UNSPECIFIED
2G56795MEDICARE UPINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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