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PONOS CARE ILLINOIS, PLLC
NPI 1902778293
Internal Medicine in Chicago, IL

Active since September 18, 2025
1538 W JACKSON BLVD STE 200, CHICAGO, IL 60607(312) 610-1000(872) 351-9638 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2026, Sep 18, 2025 (2 updates tracked since 2025).

About Ponos Care Illinois, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONOS CARE ILLINOIS, PLLC (NPI 1902778293) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since September 2025. The organization lists Gilberto Bultron, President, as its authorized official.

NPPES Registry Identity

NPI1902778293
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePONOS CARE ILLINOIS, PLLC
Location Address1538 W JACKSON BLVD STE 200Chicago, IL 60607-5304
Mailing Address1538 W Jackson Blvd Ste 200Chicago, IL 60607-5304 · (312) 610-1000 · Fax (872) 351-9638
Phone(312) 610-1000
Fax(872) 351-9638
Organization SubpartNo
Authorized OfficialGilberto BultronPresident · (818) 856-6696
Enumeration DateSeptember 18, 2025
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1902778293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1538 W JACKSON BLVD STE 200, Chicago, IL 60607
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RASHIEK M BLAND DNP, APRN, FNP-BC
Nurse Practitioner (Family)
1538 W JACKSON BLVD STE 200
CHICAGO, IL 60607
Cook County (312) 449-1769
LAWRENCIA ABUDJAH FNP-BC
Nurse Practitioner (Family)
1538 W JACKSON BLVD STE 200
CHICAGO, IL 60607
Cook County (312) 610-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponos Care Illinois, PLLC's NPI number?

The NPI number for Ponos Care Illinois, PLLC is 1902778293. It was assigned to this organization in the NPPES registry on September 18, 2025.

Where is Ponos Care Illinois, PLLC located?

Ponos Care Illinois, PLLC is located at 1538 W Jackson Blvd Ste 200, Chicago, IL 60607. The listed phone number is (312) 610-1000.

What is Ponos Care Illinois, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Ponos Care Illinois, PLLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.