Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROGER KARL PONS, MD
Active Sole ProprietorROGER KARL PONS, MD is a 2083P0011X healthcare provider located in HERRIN, Illinois. NPI 1548217383 is currently active in the NPPES registry. Verify at CMS.
2083P0011X · HERRIN, IL
Registration Details
- NPI Number
- 1548217383
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2006 (20.206049845342 yrs)
- Last Updated
- Jan 23, 2024
- Licenses
-
ME102585 (FL)ME102585 (FL)036167569 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 S 13TH ST STE 3HERRIN, IL, 629483666Browse IL providers · Browse ZIP 62948
- Phone
- 6189886157
- Primary Specialty
-
2083P0011X
2083P0011X
- Additional Specialty
- Colon & Rectal Surgery
- Additional Specialty
- 2083P0011X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.