DR. CHANG SONG, MD

Surgery

Active Individual
NPI: 1609892728

Practice Address

5401 N KNOXVILLE AVE
SUITE 217
Peoria, IL 61614

Phone: (309) 691-1092

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 036060265 (IL)
Surgery - Vascular Surgery 2086S0129X No 036060265 (IL)

Frequently Asked Questions

NPI 1609892728 is the National Provider Identifier for DR. CHANG SONG, MD, a Surgery provider located in Peoria, IL. This NPI was enumerated on July 14, 2006.
DR. CHANG SONG, MD practices at 5401 N KNOXVILLE AVE, SUITE 217, Peoria, IL 61614.

Quick Facts

NPI
1609892728
Type
Individual
Enumerated
Jul 14, 2006
Last Updated
Dec 5, 2008

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