Individual
EDUARDO PONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 E ROOSEVELT RD, VILLA PARK, IL 60181-3500
(224) 491-4136
Mailing address
220 E ROOSEVELT RD, VILLA PARK, IL 60181-3500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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