IndividualActive
Isaias Ponpa
NPI 1700779618 · Social Worker · Glen Ellyn, IL
Isaias Ponpa is a Social Worker provider in Glen Ellyn, IL (NPI 1700779618).
Provider details
- NPI number
- 1700779618
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
420 Pennsylvania Ave Ste 101
Glen Ellyn, IL 60137-4427
Phone: (630) 474-4353
Street-level locationGet directions
Mailing address
810 Pierce St
Aurora, IL 60505-2539
Registry dates
- Enumerated
- 2025-05-30
- Last updated
- 2025-07-21
- Certified
- 2025-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.