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

Philip Song, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376283036

Philip Song, DO is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3134 N Clark St
Chicago, IL 60657-4414
Phone: (773) 880-9722
Fax: (773) 880-9723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 036175882 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1376283036
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 30, 2022
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address50 E Bellevue Pl Apt 2006, Chicago, IL 60611-6119

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