Individual
MINGCHEN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
751 N RUTLEDGE ST STE 1700, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 545-4734
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(217) 545-2101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-128295
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-128295
IL
207RP1001X
Pulmonary Disease Physician
Primary
036-128295
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036128295
—
IL
Enumeration date
07/19/2007
Last updated
10/23/2023
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