Individual provider · Type 1 NPI

Chang Ki Song, MD

Surgery Physician · Peoria, IL

NPI number 1609892728 Active

Practice location

5401 N Knoxville Ave, Suite 217
Peoria, IL 61614-5098

Call (309) 691-1092 Map

Fax (309) 689-6092

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X036060265 (IL)
Vascular Surgery Physician 2086S0129X036060265 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1609892728

Chang Ki Song, MD's National Provider Identifier is 1609892728, issued on Jul 14, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Peoria, IL. The record was last updated on Dec 5, 2008.