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

Jie Song, MD

Individual provider Dermatopathology (Pathology) Physician · NPI 1114223351

Jie Song, MD is a Pathology in Libertyville, Illinois. Qualified in 1996, 30 years ago. Practices with Christina G Steil Dermatology Ltd, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
30
Licensed in
IL, IN
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

28100 N Ashley Cir Ste 106
Libertyville, IL 60048-9478
Phone: (847) 737-7719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 036.124312 (IL)
Dermatopathology (Pathology) Physician Taxonomy 207ZD0900X · Licence 036.124312 (IL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 01069290A (IN)

Record details

NPI number1114223351
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 6, 2011
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Christina G Steil Dermatology Ltd — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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