Song, Jonathan Y
Song, Jonathan Y is an individual health care provider with primary practice located at 351 Delnor Dr Ste 204 , Geneva IL 60134-4226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Song, Jonathan Y can be contacted via phone (630) 653-4240.Contact Information
Primary practice address
351 Delnor Dr Ste 204
Geneva IL 60134-4226
Phone: (630) 653-4240
Fax: (630) 938-9190
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036106052 | Illinois |
Profile Details
| NPI number | 1851452775 |
|---|---|
| LBN Legal business name | Song, Jonathan Y |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Apr 11th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851452775 | NPPES |
| Illinois | Other | 4532123 | BCBS |
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