Carlos Alberto Ponce Jr.

Physical Therapy Assistant · Evanston, IL

Individual Active NPI

NPI number 1619764909

Practice location

3200 Grant St
Evanston, IL 60201-1903
Phone
(847) 570-3422

Open in Google Maps

NPI record

NPI
1619764909
Entity type
Individual (Type 1)
Enumeration date
April 22, 2025
Last updated
April 22, 2025
Certified
April 22, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 160.010389 IL

Mailing address

10055 Frontage Rd Unit a
Skokie, IL 60077-1058
Phone
(773) 988-7302

About Carlos Ponce

Carlos Alberto Ponce Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 3200 Grant St, Evanston, IL 60201-1903. The NPI number 1619764909 was assigned on April 22, 2025 and the record was last updated on April 22, 2025.

Carlos Ponce lists a license in the registry: #160.010389 (IL) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carlos Alberto Ponce Jr.?

The NPI number is 1619764909.

What is the phone number of Carlos Ponce?

The phone number listed for the practice location is (847) 570-3422.

Where is Carlos Ponce located?

3200 Grant St, Evanston, IL 60201-1903.

What is the taxonomy code for Carlos Ponce?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physical Therapy Assistant providers in Evanston

All Physical Therapy Assistant providers in Evanston, IL →