Individual
CLIFFORD SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10400 HALIGUS RD FL 2, HUNTLEY, IL 60142-9553
(224) 654-0000
(224) 654-0000
Mailing address
1210 LARRABEE ST # 8, WEST HOLLYWOOD, CA 90069-6104
(703) 585-4924
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036170016
IL
207L00000X
Anesthesiology Physician
76210
GA
207L00000X
Anesthesiology Physician
C193443
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/24/2012
Last updated
01/31/2025
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