AUTUMN SEUNGHEE SONG

CHICAGO, IL
NPI1134727811
Former NameSEUNGHEE SONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: IL  209021694)
Enumeration Date2020-10-14
Last Update Date2022-03-11
Business Address
AUTUMN SEUNGHEE SONG DNP
1801 W TAYLOR ST
CHICAGO, IL 60612-4795
Phone number: 312-413-7500
Mailing Address
AUTUMN SEUNGHEE SONG DNP
820 S WOOD ST # MC808
CHICAGO, IL 60612-4325
Phone number: 312-996-7006
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