NGU MD. WELLNESS LTD. NPI 1942585468

NPI Information

NPI: 1942585468
Provider Name: NGU MD. WELLNESS LTD.
Classification: Internal Medicine - 207RA0401X
Entity Type: Organization

Specialization: Addiction Medicine

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

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
1	207RA0401X	Internal Medicine	Addiction Medicine	036092049	ILLINOIS	Yes

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
1	K14846	OTHER	ILLINOIS	MEDICARE ID TYPE UNSPECIFIED
2	G56795	MEDICARE UPIN	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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