Dr. Chang Ki Song, MD
Dr. Chang Ki Song, MD is a Surgery Physician in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
5401 N Knoxville Ave Ste 217Peoria, IL 61614-5098
Phone: (309) 691-1092
Fax: (309) 689-6092
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 036060265 (IL) |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X · Licence 036060265 (IL) |
Record details
| NPI number | 1609892728 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 14, 2006 |
| Last updated in NPPES | December 5, 2008 |
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