Organization · Type 2 NPI

Roque-Ponton Medical Group, S.c.

Child & Adolescent Psychiatry Physician · Chicago, IL

NPI number 1457570459 Active

Practice location

2740 W Foster Ave, Suite 313
Chicago, IL 60625-3500

Fax (773) 271-4540

Mailing address

3861 W Pratt Ave
Lincolnwood, IL 60712-2544

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804XNone listed
General Practice Physician 208D00000XNone listed

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1457570459

Roque-Ponton Medical Group, S.c.'s National Provider Identifier is 1457570459, issued on Apr 25, 2007. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Chicago, IL. The record was last updated on Sep 11, 2025.