Chang Ki Song, MD
Surgery Physician · Peoria, IL
Chang Ki Song, MD is a surgery physician with a practice address in Peoria, Illinois, and NPI 1609892728, issued on Jul 14, 2006. Check the license (Illinois 036060265, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Chang Ki Song
- Credential
- MD
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 036060265 IL
Self-reported in NPPES; status is on the state search - Practice location
- 5401 N Knoxville Ave, Peoria, IL 61614
- Phone
- (309) 691-1092
- Enumerated
- Jul 14, 2006
- Record last updated
- Dec 5, 2008 (not updated in 18 years: call before relying on the address or phone)
- Fax
- (309) 689-6092
- Medicaid ID
- 036060265 IL
- Entity
- Type 1 · individual
Also registered at 5401 N Knoxville Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jamie Beversdorf, MDInternal Medicine Physician1427256965
- Tracy Bochantin, M.D.Obstetrics & Gynecology Physician1336255009
- Bernadine BrattainSurgical Technologist1902078355
- Mary Brennan, NPNurse Practitioner1396789509
- Kristin Budde, PTPhysical Therapist1407955545
- Prentiss Carter, MDObstetrics & Gynecology Physician1992808489
Verify Chang Ki Song in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
Search for license 036060265Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Surgery Physician providers in Illinois
There are 1,520 surgery physician records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other surgery physician records in Illinois
- Douglas Aach, MDShiloh, IL1508817040
- Andrew Abadier, DOChicago, IL1124657473
- Shabirhusain Abadin, M.D.Chicago, IL1467712596
- Iftikharul Abbasy, MDOak Brook, IL1104814755
- Mahmoud Abd-El-Hafez, MDSpringfield, IL1710516943
- Samir Abdo, M.D.Eldorado, IL1578612982
- Chandrakumaran Abivarma, M.D.Park Ridge, IL1467135137
- Gerard Abood, M.DMaywood, IL1629237227
- Mohammad Abou El-Ezz, MDChicago, IL1790536746
- Gifty Abraham, M.D.Maywood, IL1881039279
Common questions
What is Chang Ki Song, MD's NPI number?
Chang Ki Song, MD's National Provider Identifier (NPI) is 1609892728, issued on Jul 14, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Chang Ki Song, MD located?
The NPPES record lists a practice address at 5401 N Knoxville Ave, Peoria, IL, 61614. Phone: (309) 691-1092. Providers update this record themselves, so call before visiting.
How can I verify Chang Ki Song, MD's license?
NPPES lists Illinois license number 036060265, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.