Individual
ALICE F SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(312) 650-9340
Mailing address
110 E FOUNTAINVIEW LN APT 1B, LOMBARD, IL 60148-5903
(630) 215-5711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/01/2017
Last updated
01/30/2023
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