Song Jiang, MD | |
0s036 Church St Ste 300, Winfield, IL 60190-1203 | |
(331) 732-4600 | |
(331) 732-4602 |
Full Name | Song Jiang |
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Gender | Male |
Speciality | Urology |
Location | 0s036 Church St Ste 300, Winfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760836472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 036165711 (Illinois) | Primary |
Entity Name | Mskcc Surgery Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699766261 PECOS PAC ID: 0345131405 Enrollment ID: O20040320000446 |
Mailing Address | Practice Location Address |
---|---|
Song Jiang, MD 420 Delaware St Se, Mmc 195, Minneapolis, MN 55455-0341 Ph: (612) 625-6483 | Song Jiang, MD 0s036 Church St Ste 300, Winfield, IL 60190-1203 Ph: (331) 732-4600 |
Dr. John G Christensen Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 | |
Dr. Joseph Oh, MD Urology Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Craig A Smith, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Jean Ung, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Ernst Lisek Iv, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Road, Ste 405, Dept Of Urology, Winfield, IL 60190 Phone: 630-790-1221 | |
Tanya Watts Kristof, MD Urology Medicare: Medicare Enrolled Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 | |
Jeremy Lai, MD Urology Medicare: Medicare Enrolled Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 |