Roque-Ponton Medical Group, S.C.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

ROQUE-PONTON MEDICAL GROUP, S.C.

Practice address

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

Phone

(773) 271-4455

Fax

(773) 271-4540

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Lopez Roque, M.D.NPI 1770502940

Title

President

Phone

(773) 271-3344

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Lopez Roque, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1770502940
  Medicare reassignment NPD Authorized official
• Maria Teresa Ponton, MD

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1457485567
  NPD
• Nadrine Sinead Omar, D.C.

  • Chiropractor
  • Chicago, IL
  • NPI 1902253248
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457570459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3861 W PRATT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122544",
            "telephone_number": "773-271-3344",
            "fax_number": "773-271-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE",
            "address_2": "SUITE 313",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253500",
            "telephone_number": "773-271-4455",
            "fax_number": "773-271-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROQUE-PONTON MEDICAL GROUP, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROQUE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LOPEZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-271-3344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "38340020",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PRACTICE",
            "identifier": "5348",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rootwork Psychotherapy, PLLC
• Rop Consultants LLC
• Pamela Lynn Roper, MD
• Ropheka Medical Service LTD
• Richard J. Ropp, M.D.
• Dario Roque, MD
• David Lopez Roque, MD
• Jodi M Roque, MD
• Natalia Roque
• Fabiola Roquena

• Child & Adolescent Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.