| Doctor Name: | LAWRENCE NGU |
| NPI Number: | 1114081643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 036-092049 |
| Business Practice Address: | 2545 S King Dr Chicago, IL - 606162441 |
| Business Phone Number: | 3128427117 |
| Business Fax Number: | |
| Mailing Address: | 2311 W 22nd St, Suite 202 OAK BROOK |
| State: | IL |
| Postal Code: | 605231225 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 08/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036-092049 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |