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Contact Information

ROGER K PONS, MD
315 S 13TH ST STE 3
HERRIN, IL62948-3666
 Phone: 618-988-6157
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Undersea and Hyperbaric Medicine

2083P0011X 84 Physician/Preventive Medicine
 

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ROGER K PONS · (Male)

NPI Number 1548217383
Status Active
Credentials MD
Entity Individual
Enumeration date 05/27/2006
Last updated 01/23/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME102585
  • IL License # 036167569
  • FL Medicaid 000504600
  • Other 001722622 BLUE CROSS BLUE SHIELD
  • Other V006270 CHAMPUS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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