Individual
ELLEN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 1106, CHICAGO, IL 60612-3845
(312) 942-4500
Mailing address
1725 W HARRISON ST STE 1106, CHICAGO, IL 60612-3845
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
036162273
IL
2084N0400X
Neurology Physician
036162273
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
06/16/2025
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