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Individual
MR. EDWARD LEE PONCE
Active
Individual
MR. EDWARD LEE PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
070-010014
IL
225100000X
Physical Therapist
070010014
IL
2251X0800X
Orthopedic Physical Therapist
070010014
IL
Other
Enumeration date
08/25/2006
Last updated
06/16/2026
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