Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Beverly Lynn Ponulak

Individual provider Ambulatory Care Registered Nurse · NPI 1740192137

Beverly Lynn Ponulak is an Ambulatory Care Registered Nurse in Hines, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

5000 S 5th Ave
Hines, IL 60141-3030
Phone: (708) 202-2707
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Care Registered Nurse (primary) Taxonomy 163WP2201X · Licence 041.282903 (IL)

Record details

NPI number1740192137
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 21, 2026
Last updated in NPPESSeptember 21, 2026
Certification dateSeptember 21, 2026

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