Individual
PAUL Y. SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 W 95TH ST, CANCER CENTER, EVERGREEN PARK, IL 60805-2746
(708) 423-6286
(708) 499-3842
Mailing address
PO BOX 10050, MANHATTAN BEACH, CA 90267-7550
(213) 744-1460
(213) 744-1486
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036090350
IL
2085R0001X
Radiation Oncology Physician
Primary
G88014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090350
—
IL
Enumeration date
06/09/2006
Last updated
07/29/2015
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