Jie Song, M.D.
Anatomic Pathology & Clinical Pathology Physician · Libertyville, IL
Jie Song, M.D. is an anatomic pathology & clinical pathology physician with a practice address in Libertyville, Illinois, and NPI 1114223351, issued on Feb 6, 2011. Check the license (Illinois 036.124312, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.
- Name
- Jie Song
- Credential
- M.D.
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License numbers
- 036.124312 IL
01069290A IN
Self-reported in NPPES; status is on the state search - Practice location
- 28100 N Ashley Cir Ste 106, Libertyville, IL 60048
- Phone
- (847) 737-7719
- Enumerated
- Feb 6, 2011
- Record last updated
- Apr 9, 2026
- Medicare enrollment
- Enrolled (PECOS I20230421000922); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 28100 N Ashley Cir Ste 106
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Wenhua LiuAnatomic Pathology & Clinical Pathology Physician1366591729
- Rosalind Sharain, M.D.Anatomic Pathology & Clinical Pathology Physician1306270152
Verify Jie 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 036.124312Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 4 group practices
- Christina G Steil Dermatology LtdHinsdale, IL
- Community Care Network IncMunster, IN
- Deerfield Dermatology Associates, Ltd.Gurnee, IL
- Skin Dermatology, LLCMunster, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Anatomic Pathology & Clinical Pathology Physician providers in Illinois
There are 789 anatomic pathology & clinical pathology physician records in Illinois.
Other anatomic pathology & clinical pathology physician records in Illinois
- Amer Abboud, MDBerwyn, IL1154348696
- Elham Abboud, MDChicago, IL1164409447
- Shahad Abdulameer, M.D.Maywood, IL1174905814
- John Abran, MDChicago Heights, IL1942293832
- Schuharazad AbroMaywood, IL1376078816
- Julia AdamsPeoria, IL1780819037
- Moses Adeyanju, M.D.Carbondale, IL1306820121
- Brian Adley, MDChicago, IL1932151966
- Ven Aduana, M.D.Geneva, IL1699757369
- Amar AgadiElgin, IL1407015415
Common questions
What is Jie Song, M.D.'s NPI number?
Jie Song, M.D.'s National Provider Identifier (NPI) is 1114223351, issued on Feb 6, 2011. An NPI identifies a provider in billing; it is not a license.
Where is Jie Song, M.D. located?
The NPPES record lists a practice address at 28100 N Ashley Cir Ste 106, Libertyville, IL, 60048. Phone: (847) 737-7719. Providers update this record themselves, so call before visiting.
How can I verify Jie Song, M.D.'s license?
NPPES lists Illinois license number 036.124312, 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. Medicare files from data.cms.gov. 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.