Individual provider · Type 1 NPI

Mark Song, PA-C

Physician Assistant · Evanston, IL

NPI number 1700345659 Active

Practice location

2650 Ridge Ave, Burch 221
Evanston, IL 60201

Call (847) 570-1440 Map

Fax (847) 570-1442

Other practice locations

  • 355 E Erie St, Chicago, IL 60611-3167 · (312) 238-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085007006 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1700345659

Mark Song, PA-C's National Provider Identifier is 1700345659, issued on Mar 19, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on Jul 17, 2026.