JIE SONG

LIBERTYVILLE, IL
NPI1114223351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: IL  036.124312)
Additional Taxonomies207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
(Licence: IN  01069290A)
Enumeration Date2011-02-06
Last Update Date2024-04-18
Business Address
JIE SONG M.D.
28100 N ASHLEY CIR STE 106
LIBERTYVILLE, IL 60048-9478
Phone number: 847-737-7719
Mailing Address
JIE SONG M.D.
2434 INTERSTATE PLAZA DR
HAMMOND, IN 46324-2671
Phone number: