Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Seunghee Song, DNP

Individual provider Women's Health Nurse Practitioner · NPI 1134727811

Autumn Seunghee Song, DNP is a Nurse Practitioner in Chicago, Illinois. Qualified in 2020, 6 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

1801 W Taylor St
Chicago, IL 60612-4795
Phone: (312) 413-7500
Fax: (312) 413-3856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 209021694 (IL)

Record details

NPI number1134727811
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP
Sole proprietorNo
NPI enumeratedOctober 14, 2020
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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