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

Shiwen Song, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1538396726

Shiwen Song, MD is a Pathology in Buffalo Grove, Illinois. Qualified in 1986, 40 years ago. Practices with Gopath Pathology Associates, SC, a 6-clinician group and works from 2 locations. Licensed in California and Illinois.

Years since qualifying
40
Licensed in
CA, IL
In the registry since
2009
Specialties on file
2
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

1351 Barclay Blvd
Buffalo Grove, IL 60089
Phone: (224) 588-9940
Fax: (224) 588-9941
Show map & directions

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

Additional practice locations (1)

  • 1200 N States St. Lac/Usc Medical Center, Los Angeles, CA 90033-1020 — (312) 823-0657

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 36121319 (IL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence A103106 (CA)

Record details

NPI number1538396726
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2009
Last updated in NPPESJuly 1, 2019

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Gopath Pathology Associates, Sc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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