Individual provider Active NPI

Scott I Song, MD

  • Allergy Physician
  • Vernon Hills, IL
National Provider Identifier
1942282223
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Practice address
6 E Phillip Rd
Ste 1105
Vernon Hills, IL 60061-1700
Phone
(847) 362-0691
Fax
(847) 362-0694
NPI assigned
Nov 14, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X IL Primary

Addresses

Primary practice location

6 E Phillip Rd
Ste 1105
Vernon Hills, IL 60061-1700

Mailing address

6 E Phillip Rd
Ste 1105
Vernon Hills, IL 60061-1700
Phone (847) 362-0691

Other identifiers 2

IdentifierTypeStateIssuer
31603499OtherILBCBS
L023777OtherILCHAMPUS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080422000347 IL Practitioner - Allergy/Immunology 6406934124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Loyola University of Chicago, Stritch School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13 E Northwest Hwy
Palatine, IL 60067-3543
Phone (847) 202-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036079245ILMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Institute of Allergy and Asthma SC CurrentSince Sep 1, 1990 Accepting new patients

Locations

1013 W Park Ave
Libertyville, IL 60048
Phone (847) 362-0691

4314 W Crystal Lake Rd
Ste D
McHenry, IL 60050
Phone (815) 344-2300

13 E Northwest Hwy
Palatine, IL 60067
Phone (847) 202-1515

6 E Phillip Rd
Ste 1105
Vernon Hills, IL 60061
Phone (847) 362-0691

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942282223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 E PHILLIP RD",
            "address_2": "STE 1105",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611700",
            "telephone_number": "847-362-0691",
            "fax_number": "847-362-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E PHILLIP RD",
            "address_2": "STE 1105",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611700",
            "telephone_number": "847-362-0691",
            "fax_number": "847-362-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "SCOTT",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31603499",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "L023777",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

Verify at the official NPI Registry.