Ponton, Stephen Lee

Ponton, Stephen Lee is an sole proprietor health care provider with primary practice located at 40 Skokie Blvd Ste 520 , Northbrook IL 60062-1601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ponton, Stephen Lee can be contacted via phone (847) 504-5000.

Contact Information

Primary practice address
40 Skokie Blvd Ste 520 Northbrook IL 60062-1601
Phone: (847) 504-5000
Fax: (847) 504-5015
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 80087 Mississippi
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 016004115 Illinois

Profile Details

NPI number 1316997042
LBN Legal business name Ponton, Stephen Lee
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Jan 22nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316997042 NPPES
Illinois Other P01563139 RAILROAD MEDICARE

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