Individual
ISAIAS PONPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 PENNSYLVANIA AVE STE 101, GLEN ELLYN, IL 60137-4427
(630) 474-4353
Mailing address
810 PIERCE ST, AURORA, IL 60505-2539
(331) 205-0569
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
07/21/2025
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