Dr Chang Ki Song, MD in Peoria, IL

Dr Chang Ki Song, MD is a Surgery physician based in Peoria, Illinois. Dr Chang Ki Song is licensed to practice in Illinois (license number 036060265) and his current practice location is 5401 N Knoxville Ave, Suite 217, Peoria, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 691-1092.

NPI number for Dr Chang Ki Song is 1609892728 and his current mailing address is 5401 N Knoxville Ave, Suite 209, Peoria, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609892728.

Contact Information

	Dr Chang Ki Song, MD
	5401 N Knoxville Ave, Suite 217, Peoria, IL 61614-5098
	(309) 691-1092
	(309) 689-6092

Map and Direction

Physician's Profile

Full Name	Dr Chang Ki Song
Gender	Male
Speciality	Surgery
Location	5401 N Knoxville Ave, Peoria, Illinois
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1609892728
Provider Enumeration Date: 07/14/2006
Last Update Date: 12/05/2008

Medical Identifiers

Medical identifiers for Dr Chang Ki Song such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609892728	NPI	-	NPPES
036060265	Medicaid	IL
07221997	Other	IL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	036060265 (Illinois)	Primary
2086S0129X	Surgery - Vascular Surgery	036060265 (Illinois)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Chang Ki Song is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Chang Ki Song, MD 5401 N Knoxville Ave, Suite 209, Peoria, IL 61614-5098 Ph: (309) 691-1092	Dr Chang Ki Song, MD 5401 N Knoxville Ave, Suite 217, Peoria, IL 61614-5098 Ph: (309) 691-1092

Reviews and Comments

Surgery Doctors in Peoria, IL

Alexandra Roper, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000
Charles Aprahamian, MD Surgery Medicare: Medicare Enrolled Practice Location: 420 Ne Glen Oak Ave, Suite 201, Peoria, IL 61603 Phone: 309-655-3800 Fax: 309-655-3948
Dr. Andy C. Chiou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1001 Main Street, 3rd Floor, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545
Mr. James Murray Jeffries Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4909 N Glen Park Place Rd, Peoria, IL 61614 Phone: 309-674-7546 Fax: 309-282-0500
Mr. Julius P. Bonello, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1001 Main Street, Suite 300, Peoria, IL 61606 Phone: 309-495-0200 Fax: 309-676-6545
Dr. Jeffrey L Williamson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Main St, Suite 530, Peoria, IL 61602 Phone: 309-672-5975 Fax: 309-655-1678
Jessica L Secor, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7725 N Knoxville Ave, Peoria, IL 61614 Phone: 309-495-0250 Fax: 309-689-9035

Dr Chang Ki Song, MD - Surgery in Peoria, IL