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Contact Information

SHIWEN SONG, MD
1351 BARCLAY BLVD
BUFFALO GROVE, IL60089
 Phone: 224-588-9940
 Fax: 224-588-9941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for SHIWEN SONG · (Male)

NPI Number 1538396726
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2009
Last updated 07/01/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A103106
  • IL License # 36121319
  • IL Medicaid 36121319
Hospital affiliation(s)
  • HARRISBURG MEDICAL CENTER - (Acute Care)
    100 DOCTOR WARREN TUTTLE DR
    HARRISBURG, IL 62946
  • OUR LADY OF THE RESURRECTION MED CTR - (Acute Care)
    5645 W ADDISON
    CHICAGO, IL 60634
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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