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Contact Information

ROQUE-PONTON MEDICAL GROUP, S.C.
2740 W FOSTER AVE
SUITE 313
CHICAGO, IL60625-3500
 Phone: 773-271-4455
 Fax: 773-271-4540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ROQUE PONTON MEDICAL GROUP SC · (Female)

NPI # 1457570459
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • AK Other 5348 FAMILY PRACTICE
  • WI Other 38340020 FAMILY PRACTICE
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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