Chang Song, MD

NPI 1609892728 · on the registry since 2006 · sole proprietor

Practice

Address: 5401 N Knoxville Ave
Suite 217
Peoria, IL 61614
Phone: (309) 691-1092
Fax: (309) 689-6092
Organisation at this address: Patti L Ally
C E Myers Md
Frank I Russo
Champion Fitness, Inc
Proctor Health Systems
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 63

Registry record

Primary taxonomy: Surgery Physician
208600000X
Also registered as: Vascular Surgery Physician
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-12-05

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