Jie Song, M.D.
Pathology · Libertyville, IL
UnclaimedM.D.NPI 1114223351
- Primary taxonomy
- 207ZP0102X
- Enumerated
- 2011-02-06
- Practice location
- Libertyville, IL
- Last NPPES update
- 2026-04-09
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- IL · Resident physician · TEMPORARY MEDICAL PERMITInactivethrough 2010
- IN · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.