Individual provider · Type 1 NPI

Beverly Lynn Ponulak

Ambulatory Care Registered Nurse · Hines, IL

NPI number 1740192137 Active

Practice location

5000 S 5th Ave
Hines, IL 60141-3030

Mailing address

15330 S Francis Dr
Plainfield, IL 60544-9422

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X041.282903 (IL)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1740192137

Beverly Lynn Ponulak's National Provider Identifier is 1740192137, issued on Sep 21, 2026. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in Hines, IL. The record was last updated on Sep 21, 2026.