GUOQING SONG (NPI# 1801247176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801247176 |
Entity Type | Individual |
Full Name | GUOQING SONG |
Credential | PA-C |
Practice Address |
2000 Lake Ave Woodstock IL 60098-7401 |
Practice Telephone | 8153377100 |
Practice Fax Number | 8153374793 |
Mailing Telephone | 8153377100 |
Mailing Fax Number | 8153374793 |
Enumeration Date | 2016-06-28 |
Last Update Date | 2016-06-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
085-005846 | IL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2000 LAKE AVE |
City | WOODSTOCK |
State | IL |
Zip Code | 60098-7401 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750389953 | Anil K Khemani | Internal Medicine | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2005-07-12 |
1497373286 | Michelle T Gahgan | Nurse Practitioner | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2020-07-08 |
1417456476 | Matthew R. Banks | Physical Therapy Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2018-02-06 |
1114398930 | Norman J Mecwan | Physical Therapist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2015-10-20 |
1669883971 | Jenna M Raju | Physician Assistant | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-05-09 |
1508281114 | Lawrence Thomas Walsh Jr. | Pharmacist | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2014-02-19 |
1548696404 | Laura Lynn Dickman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-09-23 |
1922346220 | Naomi M Tamparong | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2013-01-21 |
1649523838 | Kelly Marie Winkelman | Registered Nurse | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2012-10-25 |
1194099036 | Saba Chaudhry | Family Medicine | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2012-02-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083197453 | Abb Dental Group LLC | Dentist | 11585 Us 14, Woodstock, IL 60098 | 2018-09-12 |
1396256467 | Gezelle Adams | Social Worker | 1200 Walden Oaks Dr, Woodstock, IL 60098 | 2017-10-17 |
1861910721 | Letitia Susan Edgell | Technician | 503 Lawndale Ave., Woodstock, IL 60098 | 2017-08-31 |
1104355460 | Jessica Evertsen | Doula | 435 Laurel Ave, Woodstock, IL 60098 | 2017-06-08 |
1871026724 | Bo Yeon Bartilotta | Dentist | 11585 Us-14, Woodstock, IL 60098 | 2017-04-07 |
1619337185 | Julia Karibian | Community Health Worker | 2983 Strauss Court, Woodstock, IL 60098 | 2016-02-26 |
1407249170 | Julia Bonti | Counselor | 13318 Hickory Ln, Woodstock, IL 60098 | 2015-03-05 |
1427485580 | Sara E Smedinghoff | Physical Therapy Assistant | 708 Washington Street, Woodstock, IL 60098 | 2013-10-03 |
1669721783 | Robert Eugene Haraden | Dentist | 651 S. Eastwood Dr, Woodstock, IL 60098 | 2012-09-05 |
1831447440 | Carla Peltier | Social Worker | 101 South Jefferson Street, Woodstock, IL 60098 | 2012-08-29 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265772248 | Michale L Kangelos | Physician Assistant | 313 Balaban Cir, Woodstock, GA 30188 | 2013-02-27 |
1447245741 | Melissa A Atkins | Physician Assistant | 103 W South St, Woodstock, VA 22664-1238 | 2005-09-13 |
1477053403 | Ria Philpott | Physician Assistant | 759 S Main St, Woodstock, VA 22664-1154 | 2018-02-16 |
1811322340 | Angie S Bradley | Physician Assistant | 1505 Stonebridge Parkway, Suite 200, Woodstock, GA 30189 | 2013-09-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169522 | Priority Assist Pllc | Physician Assistant | 48 Glenda Ln, Plano, IL 60545-9652 | 2020-09-23 |
1154944478 | Diana Goldak | Physician Assistant | 3855 N Parkway Dr Apt 3a, Northbrook, IL 60062-7218 | 2020-05-20 |
1033742580 | Colleen Courtney | Physician Assistant | 218 S Driftwood Trl, Mchenry, IL 60050-5454 | 2020-02-12 |
1326678962 | Nina Kodros | Physician Assistant | 301 Madison St Ste 280, Joliet, IL 60435-6672 | 2020-01-23 |
1689218190 | Jennifer Richman | Physician Assistant | 1890 Silver Cross Blvd Ste 410, New Lenox, IL 60451-9547 | 2019-10-29 |
1710547625 | Nadia Khan | Physician Assistant | 4543 N Malden St Apt 1s, Chicago, IL 60640-5687 | 2019-06-13 |
1962065516 | Jorge Mantilla | Physician Assistant | 5540 N Kimball Ave Apt 3e, Chicago, IL 60625-4674 | 2019-04-18 |
1013479955 | Leah Rae Prager | Physician Assistant | 4400 W. 95th St., Attn: Pediatric General Surgery, Oak Lawn, IL 60453 | 2019-04-01 |
1770041949 | Laura Ann Ryan | Physician Assistant | 840 S Wood St Ste 417, Chicago, IL 60612-4325 | 2019-03-06 |
1548739782 | Helen Finke | Physician Assistant | 880 W Central Rd Ste 3300, Arlington Heights, IL 60005-2366 | 2018-11-16 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.