Individual
PAUL G NGUMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15620 WOOD ST, SOUTHWEST BUILDING, HARVEY, IL 60426-4171
(708) 333-3030
(708) 333-6060
Mailing address
15620 WOOD ST, SOUTHWEST BUILDING, HARVEY, IL 60426-4171
(708) 333-3030
(708) 333-6060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036053331
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053331
—
IL
Enumeration date
02/15/2008
Last updated
10/10/2014
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