Organization Active NPI

Coklow Consulting Group, Corp.

  • Health Service Clinic/Center
  • Chicago, IL
National Provider Identifier
1679163547
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
COKLOW CONSULTING GROUP, CORP.
Practice address
5030 N Marine Dr Apt 806
Chicago, IL 60640-3372
Phone
(773) 597-7698
NPI assigned
Jan 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lawrence Ngu, MD
Title
Medical Director
Phone
(708) 250-8424

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5030 N Marine Dr Apt 806
Chicago, IL 60640-3372

Mailing address

5030 N Marine Dr Apt 806
Chicago, IL 60640-3372
Phone (773) 597-7698

Other names 1

  • COKLOW CONSULTING GROUP Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1679163547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 N MARINE DR APT 806",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403372",
            "telephone_number": "773-597-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 N MARINE DR APT 806",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403372",
            "telephone_number": "773-597-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COKLOW CONSULTING GROUP, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "NGU",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "708-250-8424",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COKLOW CONSULTING GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.