Most Relevant Information
Provider Data
| NPI Number: | 1003376062 |
| Provider Name: | JOONGYU DANIEL SONG MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | 036166237 |
Most Important Dates
| Enumeration Date: | 03/24/2019 |
| Last Updated: | 09/05/2023 |
Provider Practice Location
3860 W OGDEN AVE
CHICAGO
IL
60623
Practice Location Phone/Fax
| Phone: | 8725883000 |
| Fax: |
Provider Mailing Location
3860 W OGDEN AVE
CHICAGO
IL
60623
Provider Mailing Phone/Fax
| Phone: | 8725883000 |
| Fax: |
Suggested EMR
Pediatrics EMR