SearchIllinois101Y00000X

Frank Ponziano, A.A.S. C.A.D.C

NPI 1427297787 · on the registry since 2009

Practice

Address
211 Waukegan Rd
St.100
Northfield, IL 60093
Phone
(847) 446-2270
Fax
(847) 446-2172
Organisation at this address
North Shore Adolescent Recovery Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YA0400X
101YM0800X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois