Search › Illinois › 363A00000X
Mark Song, PA-C
NPI 1700345659 · on the registry since 2019 · sole proprietor
Practice
- Address
- 2650 Ridge Ave
Burch 221
Evanston, IL 60201 - Phone
- (847) 570-1440
- Fax
- (847) 570-1442
- Organisation at this address
- Glenbrook Hospital
Philip H Sheridan Jr Sc
Radiation Medicine Institute
Radiation Medicine Institute
Endeavor Health Medical GroupInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,254
Additional practice sites
- 355 E Erie St, Chicago, IL
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-17
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