Individual
ALBERT JAE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 SOUTH FIRST AVENUE, BUILDING 101, ROOM 1752, MAYWOOD, IL 60153-3328
(708) 216-9000
(708) 216-6269
Mailing address
2160 S 1ST AVE, BUILDING 101, ROOM 1752, MAYWOOD, IL 60153-3328
(708) 216-9000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036128472
IL
Other
Enumeration date
06/26/2008
Last updated
05/04/2021
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