| Song Jiang, MD | |
|
0s036 Church St Ste 300, Winfield, IL 60190-1203 | |
| (331) 732-4600 | |
| (331) 732-4602 |
| Full Name | Song Jiang |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 0s036 Church St Ste 300, Winfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760836472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 036165711 (Illinois) | Primary |
| Entity Name | Mskcc Surgery Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699766261 PECOS PAC ID: 0345131405 Enrollment ID: O20040320000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Song Jiang, MD 420 Delaware St Se, Mmc 195, Minneapolis, MN 55455-0341 Ph: (612) 625-6483 | Song Jiang, MD 0s036 Church St Ste 300, Winfield, IL 60190-1203 Ph: (331) 732-4600 |
Dr. John G Christensen Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 | |
Dr. Joseph Oh, MD Urology Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Craig A Smith, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Matthew Sloan, MD Urology Medicare: Medicare Enrolled Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 | |
Jean Ung, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd, Ste 405, Winfield, IL 60190 Phone: 630-790-1221 | |
Ernst Lisek Iv, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Road, Ste 405, Dept Of Urology, Winfield, IL 60190 Phone: 630-790-1221 | |
Tanya Watts Kristof, MD Urology Medicare: Medicare Enrolled Practice Location: 0s036 Church St Ste 300, Winfield, IL 60190 Phone: 331-732-4600 Fax: 331-732-4602 |