DR. Sun Young Song

NPI #1417689761 in North Chicago, Illinois

Provider Information

NPI Number: 1417689761
Entity Type: Individual
Name: DR. Sun Young Song
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: USS OSBOURNE, BUILDING 1017
Address 2: NMRTC GREAT LAKES
City: North Chicago
State: Illinois
ZIP Code: 60064
Phone: (847) 688-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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