
About Mr. Edward Lee Ponce
He is located at 1111 Trinity Ln Ste 111, , in Bloomington, IL 61704. Appointment can be made via the phone number (309) 663-6461.
Mr. Edward Lee Ponce - Address, Phone & Website
1111 Trinity Ln Ste 111, , Bloomington, IL 61704
(309) 663-6461
Medical Specialties & Taxonomy codes
Primary | Specialty | Taxonomy Code |
---|---|---|
Yes | Physical Medicine & Rehabilitation Physician | 208100000X |
No | Orthopedic Physical Therapist | 2251X0800X |
Licenses
State | License Number |
---|---|
Illinois | 070-010014 |
Illinois | 070010014 |
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