# NGU MD. WELLNESS LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942585468
- **Authorized official:** DR. LAWRENCE N. NGU M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (708) 250-8424

## Contact information

- **Practice address:** 400 E RANDOLPH ST, APT 2711, CHICAGO, IL 60601-7329
- **Practice address phone:** (708) 250-8424
- **Mailing address:** 400 E RANDOLPH ST, APT 2711, CHICAGO, IL 60601-7329
- **Mailing address phone:** (708) 250-8424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | 036092049 | IL | Yes |

## Other

- **Enumeration date:** 10/15/2011
- **Last updated:** 10/20/2011
