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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, S.C.

NPI # 1457570459
LBN Legal business name ROQUE-PONTON MEDICAL GROUP, S.C.
Authorized official DAVID ROQUE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers
AK Other 5348 FAMILY PRACTICE
WI Other 38340020 FAMILY PRACTICE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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