| Shiwen Song, MD | |
|
1351 Barclay Blvd, Buffalo Grove, IL 60089 | |
| (224) 588-9940 | |
| (224) 588-9941 |
| Full Name | Shiwen Song |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 39 Years |
| Location | 1351 Barclay Blvd, Buffalo Grove, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538396726 | NPI | - | NPPES |
| 36121319 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community First Medical Center | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gastroenterologists Ltd | 3274422886 | 2 |
| Lakeshore Gastroenterology And Liver Disease Institute Sc | 3678564697 | 4 |
| Gopath Pathology Associates, Sc | 4688830151 | 6 |
| Midtown Gastroenterology And Liver Disease Llc | 7214463041 | 3 |
| Endoscopy Center Of The North Shore Llc | 8729327101 | 4 |
| University Of Kansas School Of Medicine Wichita Medical Practice Assoc | 3577464841 | 56 |
| Entity Name | Consolidated Pathology Consultants Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003884206 PECOS PAC ID: 9133025349 Enrollment ID: O20031209000737 |
| Entity Name | Gastroenterologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891993606 PECOS PAC ID: 3274422886 Enrollment ID: O20040312000067 |
| Entity Name | Lakeshore Gastroenterology And Liver Disease Institute Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528237765 PECOS PAC ID: 3678564697 Enrollment ID: O20040519000995 |
| Entity Name | North Shore Urogynecology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013021922 PECOS PAC ID: 9638124571 Enrollment ID: O20050314000959 |
| Entity Name | Fmgc Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578691846 PECOS PAC ID: 8325142771 Enrollment ID: O20070326000042 |
| Entity Name | Gopath Pathology Associates, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700152311 PECOS PAC ID: 4688830151 Enrollment ID: O20120727000389 |
| Entity Name | Endoscopy Center Of The North Shore Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013487388 PECOS PAC ID: 8729327101 Enrollment ID: O20190301000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Shiwen Song, MD 1439 W Harrison St, Chicago, IL 60607-3200 Ph: (312) 823-0657 | Shiwen Song, MD 1351 Barclay Blvd, Buffalo Grove, IL 60089 Ph: (224) 588-9940 |
Dr. Jim Zb Lu, MD Pathology Medicare: May Accept Medicare Assignments Practice Location: 1000 Corporate Grove Dr, Buffalo Grove, IL 60089 Phone: 224-588-9940 Fax: 224-588-9941 | |
Dr. David B. Wilson, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Grove Dr, Buffalo Grove, IL 60089 Phone: 224-588-9940 Fax: 224-588-9941 | |
Dr. Yousef Ebeid Tadros, MD Pathology Medicare: Medicare Enrolled Practice Location: 1351 Barclay Blvd, Buffalo Grove, IL 60089 Phone: 224-588-9940 Fax: 224-588-9941 |