Ngumi, Paul G

Ngumi, Paul G is an individual health care provider with primary practice located at 15620 Wood St Southwest Building, Harvey IL 60426-4171. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ngumi, Paul G can be contacted via phone (708) 333-3030.

Contact Information

Primary practice address
15620 Wood St Southwest Building Harvey IL 60426-4171
Fax: (708) 333-6060
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036053331 Illinois

Profile Details

NPI number 1013185693
LBN Legal business name Ngumi, Paul G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2008
Last updated Oct 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013185693 NPPES
Illinois MEDICAID 036053331

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