Song I Baek is a family nurse practitioner in Elkhart, IN with 8 years of experience. Song I Baek NPI is 1679020119. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2016
The provider's business location address is:
1004 PARKWAY AVE STE E
ELKHART, IN
ZIP 46516-349
Phone: (574) 218-7131
The NPI 1679020119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/1/2016 and was last updated on 10/18/2023.