Edward Lee Ponce is a Physical Medicine & Rehabilitation Physician based in Bloomington, IL. Edward Lee Ponce practices in Bloomington, IL and has the professional credentials of PT. The NPI Number for Edward Lee Ponce is 1528176138 and holds a License No. 070010014 (Illinois).
The current practice location address for Edward Lee Ponce is 1111 Trinity Ln Ste 111, Bloomington, IL and can be reached out via phone at 309-663-6461 and via fax at 309-663-5711.
Identifier | Type | State | Issuer |
---|---|---|---|
619710010 | 01 | IL | MEDICARE PTAN |
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