Mingchen Song MD

NPI 1659571487 - Internal Medicine - 207RP1001X

NPI Details
NPI 1659571487
Gender Male
Enumeration Date 07/19/2007
Last Updated 09/20/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
751 N RUTLEDGE ST
SUITE 0300
SPRINGFIELD IL, 62702-4968, US
Phone (217) 545-5864
Fax (217) 545-1102
Business Location
PO BOX 19652
SPRINGFIELD IL, 62794-9652, US
Phone (217) 545-5864
Fax (217) 545-1102
Toxanomy
Taxonomy Code 207RP1001X
License State Illinois
License Number 036-128295
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According to our database, Mingchen Song MD NPI is 1659571487, taxonomy code is 207RP1001X and license number is 036-128295, license state is located at Illinois. Mingchen Song MD physically located at 751 N Rutledge St, Springfield IL, 62702-4968. NPI Number Mingchen Song MD has the Individual type.

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1659571487 NPI number is provided on an as is basis without warranty of any kind. 1659571487 is maintained by the National Plan & Provider Enumeration System. The contents of Mingchen Song MD are for informational purposes only.