AUTUMN SEUNGHEE SONG DNP NPI 1134727811

NPI Information

NPI: 1134727811
Provider Name: AUTUMN SEUNGHEE SONG, DNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
1801 W TAYLOR ST
CHICAGO, IL
ZIP 60612
Phone: (312) 413-7500
Get Directions

Autumn Seunghee Song, DNP is a women's health nurse practitioner in Chicago, IL with 4 years of experience. Autumn Seunghee Song, DNP NPI is 1134727811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1801 W TAYLOR ST
CHICAGO, IL
ZIP 60612-795
Phone: (312) 413-7500
Fax: (312) 413-3856

The NPI 1134727811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/14/2020 and was last updated on 3/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	209021694	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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