Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ponos Care Illinois, PLLC

Organization Internal Medicine Physician · NPI 1902778293

Ponos Care Illinois, PLLC is an Internal Medicine Physician in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1538 W Jackson Blvd Ste 200
Chicago, IL 60607-5304
Phone: (312) 610-1000
Fax: (872) 351-9638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1902778293
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gilberto Bultron — President · (818) 856-6696
NPI enumeratedSeptember 18, 2025
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address1538 W Jackson Blvd Ste 200, Chicago, IL 60607-5304

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