NGU MD. WELLNESS LTD. (NPI# 1942585468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942585468 |
| Entity Type | Organization |
| Organization Name | NGU MD. WELLNESS LTD. |
| Practice Address |
400 E Randolph St Apt 2711 Chicago IL 60601-7329 |
| Practice Telephone | 7082508424 |
| Mailing Telephone | 7082508424 |
| Enumeration Date | 2011-10-15 |
| Last Update Date | 2011-10-20 |
| Authorized Official Name | DR. LAWRENCE N. NGU (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7082508424 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
036092049 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE ID TYPE UNSPECIFIED | K14846 | 01 |
| Street Address |
400 E RANDOLPH ST APT 2711 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60601-7329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376541532 | Anthony G. Finder | Ophthalmology | 400 E Randolph St, Unit 2113, Chicago, IL 60601-7385 | 2005-07-12 |
| 1770933327 | Ricky Li | Pharmacist | 400 E Randolph St, #3721, Chicago, IL 60601-7329 | 2016-06-14 |
| 1801295753 | Mary A Cavender | Nutritionist | 400 E Randolph St, #1610, Chicago, IL 60601-7329 | 2014-08-16 |
| 1245577667 | Elderderm Sc | Dermatology | 400 E Randolph St, Suite 2407, Chicago, IL 60601-7329 | 2013-01-04 |
| 1366683591 | Lora L Chow Dmd PC | Dentist | 400 E Randolph St, #3202, Chicago, IL 60601-7329 | 2009-03-18 |
| 1144351842 | Elizabeth (dee) Heaton Hartmann | Physical Therapist | 400 E Randolph St, Professional Suite 205, Chicago, IL 60601-7329 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811527013 | Chicago Center for Advanced Dentistry | Dentist | 222 N Lasalle St 230, Chicago, IL 60601 | 2020-01-16 |
| 1689131146 | Nicole Lauren Rothman | Social Worker | 155 N Michigan Ave Ste 500a, Chicago, IL 60601 | 2019-02-20 |
| 1861976532 | Mhn Aco, LLC | Case Management | 180 N. Stetson Avenue, Suite 600-1, 180 N. Stetson Avenue, Suite 600-1, Chicago, IL 60601 | 2018-09-19 |
| 1659861409 | Alison Hirshorn LLC | Community/Behavioral Health | 155 N Michigan Ave Ste 603, Chicago, IL 60601 | 2018-05-17 |
| 1427574714 | Nicole Woodcox Bolden | Social Worker | 205 N Michigan Ave Ste 1660, Chicago, IL 60601 | 2017-08-17 |
| 1912431560 | Shannon Keleher | Social Worker | 155 N Michigan Ave Ste 209, Chicago, IL 60601 | 2017-04-19 |
| 1659828630 | Kevin Mcguyer | Physical Therapist | 151 N Michgan Ave, Chicago, IL 60601 | 2016-09-07 |
| 1598116618 | Charles Raymond Culpepper | Counselor | 155 N Michigan Ave Ste 608, Chicago, IL 60601 | 2016-06-30 |
| 1629494042 | Farah Huq | Counselor | 180 N Michigan Ave, Ste 410, Chicago, IL 60601 | 2014-03-10 |
| 1609147628 | Kathleen M Walsh | Social Worker | 155 N Michigan Av, #523, Chicago, IL 60601 | 2012-01-23 |
| Find all providers in zip 60601 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184189672 | Calumet Counseling and Dui Services,inc | Internal Medicine | 1010 W 95th St, Chicago, IL 60643-1522 | 2019-02-08 |
| 1376819565 | Sahar Eftekhar | Internal Medicine | 1 E Superior St Ste 306, Chicago, IL 60611-2595 | 2012-04-01 |
| 1184934036 | Mary S Wenzel | Internal Medicine | 3730 N Lake Shore Dr, Chicago, IL 60613-4236 | 2010-10-13 |
| 1194824797 | Charles S Gilbert Jr | Internal Medicine | 2600 S Michigan Ave, Suite 410, Chicago, IL 60616-2857 | 2006-09-21 |
| 1598879223 | Michael D Baldinger | Internal Medicine | 1150 W Fullerton Ave, 2nd Flr, Chicago, IL 60614-8160 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033343132 | Richard Joseph Wallyn | Internal Medicine | 1300 Brassie Ave., Flossmoor, IL 60422-1812 | 2009-05-05 |
| 1477752160 | Arthur Hoffman | Internal Medicine | 2652 Broadway Ave, Evanston, IL 60201 | 2007-07-13 |
| 1659300796 | Abhin Singla | Internal Medicine | 801 N Larkin Ave Ste 101, Joliet, IL 60435 | 2006-07-01 |
| 1841238979 | Mysore N Shivaram | Internal Medicine | 6901 Cermak Rd, Berwyn, IL 60402-2160 | 2006-06-02 |
| 1659342665 | Albert C Tanlim | Internal Medicine | 845 S 4th St, Roberts Clinic Ltd, Watseka, IL 60970-1628 | 2006-01-28 |
| 1407395346 | Bhs Physician Services of Illinois PC | Internal Medicine | 1237 E 1600 North Rd, Gilman, IL 60938-6112 | 2017-02-13 |
| 1588929525 | Opioid Addiction Recovery Services PC | Internal Medicine | 755 S Milwaukee Ave, Suite 210, Libertyville, IL 60048-3253 | 2012-07-05 |
| 1679888341 | Mysore N Shivaram Md Sc | Internal Medicine | 6901 Cermak Rd, Berwyn, IL 60402-2160 | 2010-08-18 |
| 1487798955 | Clinical Associates In Medicine, LLC | Internal Medicine | 801 N Larkin Ave Ste 101, Joliet, IL 60435 | 2007-02-17 |
| 1235153677 | Kirk Moberg | Internal Medicine | 602 W University Avenue, Administration, Urbana, IL 61801 | 2006-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.