Provider Demographics
NPI:1851655872
Name:NGU, WILLIAM (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:NGU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 S ROSELLE RD STE 121
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2966
Mailing Address - Country:US
Mailing Address - Phone:630-671-4980
Mailing Address - Fax:630-671-4989
Practice Address - Street 1:455 S ROSELLE RD STE 121
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2966
Practice Address - Country:US
Practice Address - Phone:630-671-4980
Practice Address - Fax:630-671-4989
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036136227207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036136227OtherSTATE LICENSE