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ROQUE-PONTON MEDICAL GROUP, S.C.
NPI 1457570459
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chicago, IL

Active since April 25, 2007CLIA 14D0976943 · Waiver
2740 W FOSTER AVE, SUITE 313, CHICAGO, IL 60625(773) 271-4455(773) 271-4540 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Roque-ponton Medical Group, S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROQUE-PONTON MEDICAL GROUP, S.C. (NPI 1457570459) is a healthcare organization registered as a child & adolescent psychiatry in Chicago, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists David Lopez Roque, President, as its authorized official.

NPPES Registry Identity

NPI1457570459
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameROQUE-PONTON MEDICAL GROUP, S.C.
Location Address2740 W FOSTER AVE, SUITE 313Chicago, IL 60625-3500
Mailing Address3861 W Pratt AveLincolnwood, IL 60712-2544 · (773) 271-3344 · Fax (773) 271-4540
Phone(773) 271-4455
Fax(773) 271-4540
Organization SubpartNo
Authorized OfficialDavid Lopez RoquePresident · (773) 271-3344
Enumeration DateApril 25, 2007
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1457570459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
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.
Also ListedGeneral PracticeTaxonomy 208D00000X
2740 W FOSTER AVE, Chicago, IL 60625
Open in Google Maps ↗

Other Identifiers 2

Other38340020WI · Family Practice
Other5348AK · Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0976943

Roque-Ponton Medical Group Sc · Chicago, IL
Active · expires Aug 15, 2026
CLIA Number14D0976943
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorDavid L. Roque
Laboratory Phone(773) 271-3344
Laboratory LocationRoque-Ponton Medical Group Sc2740 W Foster, Suite 313, Chicago, IL 60625
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SOLOMON SIDEA
Internal Medicine
2740 W FOSTER AVE
CHICAGO, IL 60625
Cook County (773) 989-4111
DR. HOWARD CLARK FEDERER III M.D.
Surgery
2740 W FOSTER AVE, SUITE 213
CHICAGO, IL 60625
Cook County (773) 293-4001
DR. STEPHEN MICHAEL GROHMANN M.D.
Internal Medicine (Infectious Disease)
2740 W FOSTER AVE, SUITE 214
CHICAGO, IL 60625
Cook County (773) 907-3400
SWEDISH COVENANT PHYSICIAN PARTNERS, LTD.
Health Maintenance Organization
2740 W FOSTER AVE, SUITE 411
CHICAGO, IL 60625
Cook County (773) 271-0880
NEIGHBORHOOD FAMILY HEALTHCARE SC
Family Medicine
2740 W FOSTER AVE, SUITE 410
CHICAGO, IL 60625
Cook County (773) 907-0978
DELIS FAMILY MEDICAL, S.C.
Family Medicine
2740 W FOSTER AVE, STE. 316
CHICAGO, IL 60625
Cook County (773) 561-8481
FEDERER SURGICAL SERVICES LTD
Surgery
2740 W FOSTER AVE, SUITE 213
CHICAGO, IL 60625
Cook County (773) 293-4001
ASHWIN M SHAH, MD, SC
Surgery
2740 W FOSTER AVE
CHICAGO, IL 60625
Cook County (773) 293-4004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roque-Ponton Medical Group, S.C.'s NPI number?

The NPI number for Roque-Ponton Medical Group, S.C. is 1457570459. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Roque-Ponton Medical Group, S.C. located?

Roque-Ponton Medical Group, S.C. is located at 2740 W Foster Ave Suite 313, Chicago, IL 60625. The listed phone number is (773) 271-4455.

What is Roque-Ponton Medical Group, S.C.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Does Roque-Ponton Medical Group, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0976943) is associated with this NPI, valid through August 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Roque-Ponton Medical Group, S.C. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.