IndividualActive
Brian Song
NPI 1083108468 · Dentist · Willowbrook, IL
Provider details
- NPI number
- 1083108468
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 019031765 (IL)
Specialties & taxonomies
Dental Providers
Practice location
6717 Kingery Hwy
Willowbrook, IL 60527-5142
Phone: (630) 655-8781
Fax: (630) 566-8211
Approximate (ZIP-level) locationGet directions
Mailing address
6717 Kingery Hwy
Willowbrook, IL 60527-5142
Registry dates
- Enumerated
- 2018-06-19
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.