Individual
LAWRENCE NGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2545 S KING DR, CHICAGO, IL 60616-2441
(312) 842-7117
Mailing address
2311 W 22ND ST, SUITE 202, OAK BROOK, IL 60523-1225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-092049
IL
208D00000X
General Practice Physician
036-092049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092049
—
IL
Enumeration date
12/20/2006
Last updated
08/20/2014
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