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MR. SCOTT I SONG MD

Allergy

Vernon Hills, Illinois

Provider NPI: 1942282223

Provider Information:
MR. SCOTT I SONG MD


Practice Location:
6 E PHILLIP RD STE 1105 VERNON HILLS, IL 60061 US
Tel: 847-362-0691  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
IL

Other Provider Identifiers:

IssuerNumberStateType
CHAMPUSL023777IL01
BCBS31603499IL01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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