Organization
COKLOW CONSULTING GROUP, CORP.
Active
Other names
COKLOW CONSULTING GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE NGU MD (MEDICAL DIRECTOR)
(708) 250-8424
Entity
Organization
Contact information
Practice address
5030 N MARINE DR APT 806, CHICAGO, IL 60640-3372
(773) 597-7698
Mailing address
5030 N MARINE DR APT 806, CHICAGO, IL 60640-3372
(773) 597-7698
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2021
Last updated
01/24/2021
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