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Individual
RYAN MINGXIAO SONG
Active
Individual
RYAN MINGXIAO SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.163500
IL
207R00000X
Internal Medicine Physician
125.075906
IL
207RN0300X
Nephrology Physician
Primary
036163500
IL
Other
Enumeration date
03/27/2020
Last updated
07/23/2025
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