Joongyu Daniel Song, MD | |
3860 W Ogden Ave, Chicago, IL 60623 | |
(872) 588-3000 | |
Not Available |
Full Name | Joongyu Daniel Song |
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Gender | Male |
Speciality | Internal Medicine |
Location | 3860 W Ogden Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003376062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036166237 (Illinois) | Secondary |
207R00000X | Internal Medicine | 036166237 (Illinois) | Primary |
Entity Name | Lawndale Christian Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245289214 PECOS PAC ID: 2264336346 Enrollment ID: O20031120000728 |
Entity Name | Saint Anthony Health Affiliates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881086064 PECOS PAC ID: 1254321474 Enrollment ID: O20040518000419 |
Mailing Address | Practice Location Address |
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Joongyu Daniel Song, MD 3860 W Ogden Ave, Chicago, IL 60623 Ph: (872) 588-3000 | Joongyu Daniel Song, MD 3860 W Ogden Ave, Chicago, IL 60623 Ph: (872) 588-3000 |
Dr. Sorin C Danciu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3134 N Clark St, Chicago, IL 60657 Phone: 773-880-9722 | |
Anoopa A. Koshy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Ste 2200, Chicago, IL 60611 Phone: 312-926-6000 | |
William Edmond Gerardi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3730 N Lake Shore Dr, Apartment 2a, Chicago, IL 60613 Phone: 773-244-3060 | |
Suparna Dutta, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 W Van Buren St, Suite 500, Chicago, IL 60612 Phone: 312-942-4200 Fax: 312-942-3568 | |
Alexandra Dumitrescu, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 888-824-0200 | |
Dr. Mitesh Mahesh Kabadi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 1159, Chicago, IL 60612 Phone: 312-942-5020 | |
Dr. Marta Batus, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 809, Chicago, IL 60612 Phone: 312-563-2487 Fax: 312-942-3192 |