Joung Eun Song, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019023678 Issued in IL

Legal business name

JOUNG EUN SONG, DDS, PC

Practice address

2640 Patriot Blvd
Ste 230
Glenview, IL 60026-8075

Phone

(847) 724-0980

Fax

(847) 724-0981

NPI assigned

Oct 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joung Eun Song, DDSNPI 1023255783

Title

Owner

Phone

(847) 724-0980

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joung Eun Song, DDS

  • General Practice Dentistry
  • Glenview, IL
  • NPI 1023255783
  NPD (past) Authorized official

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1760634687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD",
            "address_2": "STE 230",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "847-724-0980",
            "fax_number": "847-724-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 PATRIOT BLVD",
            "address_2": "STE 230",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268075",
            "telephone_number": "847-724-0980",
            "fax_number": "847-724-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOUNG EUN SONG, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JOUNG",
        "authorized_official_middle_name": "EUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-724-0980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019023678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy P Joseph, RN
• Nibia B Joseph
• Josh Hassan DMD PLLC
• Rupal Joshi, MD
• Shruti Joshi, PT, MS
• Bradley Wayne Jourdan, PT,DPT
• Journeycare, Inc.
• Journeycare, Inc.
• Alyson Joyce
• Julie Friedman, PH.D., P.C.

• General Practice Dentistry in Glenview, IL
• Providers in Glenview, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.