Chung Song, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036068375 Issued in IL

Practice address

6202 S Halsted St
Chicago, IL 60621-2029

Phone

(773) 651-2188

Fax

(773) 651-9655

NPI assigned

Jun 26, 2006

Last updated

Jan 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Endocrinology, General Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernard Hospital Hospital, Chicago, IL, CCN 140103

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: csong@direct-address.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chung M. Song, MD, SC

  • Endocrinology, Diabetes & Metabolism Physician
  • Chicago, IL
  • NPI 1730378423
  Medicare reassignment NPD Authorized official
• Foundation for Emergency Services

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1467468280
  Medicare reassignment NPD
• Foundation for Outreach Services

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1316350242
  Medicare reassignment NPD
• Foundation for Emergency Services

  dba The Clinic at Walmart operated by St. Bernard Hospital

  • Primary Care Clinic/Center
  • Chicago, IL
  • NPI 1992053029
  NPD
• Family Guidance Centers, Inc.

  • Methadone Clinic
  • Chicago, IL
  • NPI 1447847413
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Bernard Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811034291
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1710914999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 CHEROKEE LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600151609",
            "telephone_number": "773-651-2188",
            "fax_number": "773-651-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6202 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606212029",
            "telephone_number": "773-651-2188",
            "fax_number": "773-651-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "CHUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036068375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068375",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SE Sook Sone-Jung, M.D.
• Je Yeong Sone
• Kathy Rubiner Sonenthal, M.D.
• Mallory Sonenthal, PT, DPT
• Autumn Seunghee Song, DNP
• Helen Juyon Song, D.D.S.
• Hye Song, NP
• Joongyu Daniel Song, MD
• Megan Song, M.D.
• Mia M Song, MD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.