Individual
SONG JIANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
0S036 CHURCH ST STE 300, WINFIELD, IL 60190-1203
(331) 732-4600
(331) 732-4602
Mailing address
420 DELAWARE ST SE, MMC 195, MINNEAPOLIS, MN 55455-0341
(612) 625-6483
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036165711
IL
Other
Enumeration date
04/19/2016
Last updated
12/28/2023
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