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

Woojin Song, PHD

Individual provider Clinical Neuropsychologist · NPI 1497165146

Woojin Song, PHD is a Clinical Psychologist in Chicago, Illinois. Qualified in 2012, 14 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Michigan.

Years since qualifying
14
Licensed in
IL, MI
In the registry since
2014
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1740 W Taylor St
Chicago, IL 60612-7232
Phone: (312) 996-1757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2101 Commonwealth Blvd Ste C, Ann Arbor, MI 48105-2969 — (608) 217-6369

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 071.008770 (IL)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 6301015267 (MI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 071008770 (IL)

Record details

NPI number1497165146
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 3, 2014
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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