Individual
RYAN MINGXIAO SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-3630
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.163500
IL
207R00000X
Internal Medicine Physician
125.075906
IL
207RN0300X
Nephrology Physician
Primary
036163500
IL
Other
Enumeration date
03/27/2020
Last updated
07/23/2025
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