institution
Roque-ponton Medical Group, S.c.
General Practice Physician in Chicago, Illinois
NPI 1457570459

Roque-ponton Medical Group, S.c. is a General Practice Physician based in Lincolnwood, IL. Roque-ponton Medical Group, S.c. practices in Chicago, IL. The NPI Number for Roque-ponton Medical Group, S.c. is 1457570459 and holds a License No. (Illinois).

The current practice location address for Roque-ponton Medical Group, S.c. is 2740 W Foster Ave, Chicago, IL and can be reached out via phone at 773-271-4455 and via fax at 773-271-4540.

Location: 2740 W Foster Ave, Chicago, IL, 60712-2544
institution
Provider Profile Details
NPI Number
1457570459
Provider Name
Roque-ponton Medical Group, S.c.
Credential
Provider Entity Type
Organization
Address
2740 W Foster Ave, Chicago, IL, 60712-2544
Phone Number
773-271-4455
Fax Number
773-271-4540
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38340020 01 WI FAMILY PRACTICE
5348 01 AK FAMILY PRACTICE
institution
Provider Business Practice Location Address Details
Address
2740 W Foster Ave
City
State
Zip
60625-3500
Phone Number
773-271-4455
Fax Number
773-271-4540
person
Provider Business Mailing Address Details
Address
2740 W Foster Ave
City
State
Zip
60625-3500
Phone Number
773-271-4455
Fax Number
773-271-4540
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
License No.
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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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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