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

Mark Song, PA-C

Individual provider Physician Assistant · NPI 1700345659

Mark Song, PA-C is a Physician Assistant in Evanston, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2650 Ridge Ave Burch 221
Evanston, IL 60201
Phone: (847) 570-1440
Fax: (847) 570-1442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 355 E Erie St, Chicago, IL 60611-3167 — (312) 238-1000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085007006 (IL)

Record details

NPI number1700345659
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 19, 2019
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address2650 Ridge Ave, Evanston, IL 60201-1700

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