CARLOS ALBERTO PONCE

EVANSTON, IL
NPI1619764909
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160.010389)
Enumeration Date2025-04-22
Last Update Date2025-04-22
Business Address
CARLOS ALBERTO PONCE
3200 GRANT ST
EVANSTON, IL 60201-1903
Phone number: 847-570-3422
Mailing Address
CARLOS ALBERTO PONCE
10055 FRONTAGE RD UNIT A
SKOKIE, IL 60077-1058
Phone number: 773-988-7302
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