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

Carlos Alberto Ponce Jr.

Individual provider Physical Therapy Assistant · NPI 1619764909

Carlos Alberto Ponce Jr. is a Physical Therapy Assistant in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

3200 Grant St
Evanston, IL 60201-1903
Phone: (847) 570-3422
Show map & directions

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

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.010389 (IL)

Record details

NPI number1619764909
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

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