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1053564732
TAE H SONG
CHICAGO, IL
NPI
1053564732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IL 036139306)
Enumeration Date
2008-10-28
Last Update Date
2022-10-24
Business Address
TAE H SONG
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
TAE H SONG
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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