Provider Demographics
NPI:1609339902
Name:OGUGUA, FREDRICK MACHI (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:FREDRICK
Middle Name:MACHI
Last Name:OGUGUA
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Gender:M
Credentials:MD, MPH
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Mailing Address - Street 1:2650 RIDGE AVE.
Mailing Address - Street 2:SUITE 1223
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1718
Mailing Address - Country:US
Mailing Address - Phone:847-570-2040
Mailing Address - Fax:847-733-5315
Practice Address - Street 1:2650 RIDGE AVE.
Practice Address - Street 2:IM/ICU HOSPITALISTS
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1718
Practice Address - Country:US
Practice Address - Phone:847-570-1010
Practice Address - Fax:847-733-5108
Is Sole Proprietor?:No
Enumeration Date:2019-04-12
Last Update Date:2025-01-14
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Provider Licenses
StateLicense IDTaxonomies
390200000X
IL036.159261208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine