Beverly Lynn Ponulak

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

041.282903 Issued in IL

Practice address

5000 S 5TH Ave
Hines, IL 60141-3030

Phone

(708) 202-2707

NPI assigned

Sep 21, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1740192137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15330 S FRANCIS DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605449422",
            "telephone_number": "708-202-2707",
            "fax_number": "815-953-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONULAK",
        "first_name": "BEVERLY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "IL",
            "license": "041.282903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Plathe, LSW
• Eunice Ann Pleshar, OTR/L
• Jacob Levi Plisek, RN
• Jane A Plonka, MSW
• Cheryl Lynn Podgorski, M.A.
• Tawana Niette Pope
• Ana Popovich
• Diane Porter, MD
• Marcelis Lajon Posey
• Jadwiga Potocka

• Ambulatory Care Registered Nurse in Hines, IL
• Providers in Hines, IL by specialty
• Ambulatory Care Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.