Active NPI
Lawrence Ngu, M.D.
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-092049
- Practice address
- 2545 S King Dr
Chicago, IL 60616-2441 - Phone
- (312) 842-7117
- NPI assigned
- Dec 20, 2006
- Last updated
- Aug 20, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-092049 | IL | Primary |
| General Practice Physician | 208D00000X | 036-092049 | IL |
Addresses
Primary practice location
2545 S King Dr
Chicago, IL 60616-2441
Mailing address
2311 W 22ND St
Suite 202
Oak Brook, IL 60523-1225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092049 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-092049 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tanni Supportive Living | Current | Accepting new patients | |
| Cook County | Current | Accepting new patients | |
| Cook County | Internal Medicine | Current | Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Elite Treatment Center | Current | Accepting new patients | |
| Solid Rock Care Center II | General Practice | Past | Accepting new patients |
Locations
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
25706 Network Pl
Chicago, IL 60673
4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1800 Nations Dr
Ste 119
Gurnee, IL 60031
Phone (847) 868-3003
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba John H. Stroger, Jr. Hospital of Cook County
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
dba Lake-Cook Healthcare Services
- Multi-Specialty Clinic/Center
- Waukegan, IL
- NPI 1356925929
-
dba Cook County Health & Hospitals System Physician Services
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
Internal Medicine
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Chicago Heights, IL
- NPI 1912457219
-
- General Practice Physician
- Oak Park, IL
- NPI 1780877993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1114081643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 W 22ND ST",
"address_2": "SUITE 202",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 S KING DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162441",
"telephone_number": "312-842-7117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGU",
"first_name": "LAWRENCE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-092049",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036-092049",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092049",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.