Song, Richard
Song, Richard is an individual health care provider with primary practice located at 2359 Hassell Rd , Hoffman Estates IL 60169-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Song, Richard can be contacted via phone (847) 843-7030.Contact Information
Primary practice address
2359 Hassell Rd
Hoffman Estates IL 60169-2102
Phone: (847) 843-7030
Fax: (847) 843-0795
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 036123489 | Illinois |
Profile Details
| NPI number | 1710011416 |
|---|---|
| LBN Legal business name | Song, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Aug 23rd, 2023 - about 2 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 | 1710011416 | NPPES |
| Illinois | MEDICAID | 1710011416 |
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