IndividualActive
Sun Young Song
NPI 1417689761 · Dentist · North Chicago, IL
Sun Young Song is a Dentist provider in North Chicago, IL (NPI 1417689761).
Provider details
- NPI number
- 1417689761
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2022021331 (MO)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Uss Osbourne, Building 1017
Nmrtc Great Lakes
North Chicago, IL 60064
Phone: (847) 688-2100
Approximate (ZIP-level) locationGet directions
Mailing address
3909 Gallant Fox Dr
Columbia, MO 65202-4831
Registry dates
- Enumerated
- 2022-06-27
- Last updated
- 2022-06-27
- Certified
- 2022-06-17
Frequently asked questions
- What is Sun Young Song's NPI number?
- Sun Young Song's National Provider Identifier (NPI) is 1417689761, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sun Young Song's specialty?
- Sun Young Song is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Sun Young Song located?
- Sun Young Song's practice location on file with NPPES is Uss Osbourne, Building 1017, North Chicago, IL 60064.
- What is Sun Young Song's phone number?
- The practice phone number listed in the NPPES registry for Sun Young Song is (847) 688-2100.
- Is Sun Young Song's NPI active?
- Yes — Sun Young Song's NPI (1417689761) is active in the NPPES registry as of the last update on 2022-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.