Individual
MR. SCOTT I SONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 E PHILLIP RD, STE 1105, VERNON HILLS, IL 60061-1700
(847) 362-0691
(847) 362-0694
Mailing address
6 E PHILLIP RD, STE 1105, VERNON HILLS, IL 60061-1700
(847) 362-0691
(847) 362-0694
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31603499
BCBS
IL
01
—
L023777
CHAMPUS
IL
Enumeration date
11/14/2005
Last updated
07/08/2007
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