Individual
JIE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
28100 N ASHLEY CIR STE 106, LIBERTYVILLE, IL 60048-9478
(847) 737-7719
Mailing address
28100 N ASHLEY CIR STE 106, LIBERTYVILLE, IL 60048-9478
(847) 996-1030
(847) 996-0791
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
036.124312
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
01069290A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.124312
IL
Other
Enumeration date
02/06/2011
Last updated
04/09/2026
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