Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roque-Ponton Medical Group, SC

Organization Child & Adolescent Psychiatry Physician · NPI 1457570459

Roque-Ponton Medical Group, SC is a Child & Adolescent Psychiatry Physician in Chicago, Illinois. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

2740 W Foster Ave Ste 313
Chicago, IL 60625-3500
Phone: (773) 271-4455
Fax: (773) 271-4540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1457570459
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Roque — President · (773) 271-3344
NPI enumeratedApril 25, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address3861 W Pratt Ave, Lincolnwood, IL 60712-2544

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