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Individual

STEPHEN LEE PONTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
225 W WASHINGTON ST STE 1500, CHICAGO, IL 60606-3485
(847) 504-5000
(847) 504-5015
Mailing address
225 W WASHINGTON ST STE 1500, CHICAGO, IL 60606-3485
(847) 504-5000
(847) 504-5015

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004115
IL
213E00000X
Podiatrist
80087
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01563139
RAILROAD MEDICARE
IL
Enumeration date
05/11/2006
Last updated
10/21/2025
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