Healthcare Provider Details

I. General information

NPI: 1235883661
Provider Name (Legal Business Name): YOONMEE SONG NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2022
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 LAKE ZURICH RD
BARRINGTON IL
60010-3141
US

IV. Provider business mailing address

405 LAKE ZURICH RD
BARRINGTON IL
60010-3141
US

V. Phone/Fax

Practice location:
  • Phone: 847-381-5599
  • Fax: 847-381-7552
Mailing address:
  • Phone: 847-381-5599
  • Fax: 847-381-7552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number209024366
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209024366
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: