Ponos Care Illinois, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PONOS CARE ILLINOIS, PLLC

Practice address

1538 W Jackson Blvd Ste 200
Chicago, IL 60607-5304

Phone

(312) 610-1000

Fax

(872) 351-9638

NPI assigned

Sep 18, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Gilberto Bultron, MD

Title

President

Phone

(818) 856-6696

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lawrencia Abudjah, FNP-BC

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1972368066
  NPD (past)

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1902778293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 W JACKSON BLVD STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075304",
            "telephone_number": "312-610-1000",
            "fax_number": "872-351-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 W JACKSON BLVD STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075304",
            "telephone_number": "312-610-1000",
            "fax_number": "872-351-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONOS CARE ILLINOIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-18",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "BULTRON",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-856-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pong Medical Center LLC
• Supachai S Pongched, M.D.
• Jacqueline Ann Pongracic, MD
• Abigail Poniente Monsalud
• Natalya Igorevna Ponomareva, MD
• Maria del Carmen Pons Torres, MD, PHD
• Michael Anthony Pontarelli, D.C.
• Vittoria Madia Pontarelli, D.D.S.
• Megan Ponte, LCSW
• Pamala J Pontikes, PHARMD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.