Search › Illinois › 207ZP0102X
Shiwen Song, MD
NPI 1538396726 · on the registry since 2009
Practice
- Address
- 1351 Barclay Blvd
Buffalo Grove, IL 60089 - Phone
- (224) 588-9940
- Fax
- (224) 588-9941
- Clinicians at this address
- 2
Additional practice sites
- 1200 N States St. Lac/Usc Medical Center, Los Angeles, CA
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZP0102X
- Licence states on file
- CA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois