Jacqueline Ann Pongracic
MD | Pediatric Allergy-Immunology | Female
Jacqueline Ann Pongracic, MD is a Chicago, Illinois based Pediatric doctor with medical specialization in
Pediatric Allergy-Immunology.
Current practice location of Jacqueline Ann Pongracic is
2515 N Clark St, Childrens Memorial Hospital Outpatient Center, Chicago, Illinois - 60614. She can be contacted on phone at
312-227-6010 and fax number 312-227-9401.
Jacqueline Ann Pongracic is a sole proprietor of her business.
NPI number (Unique professional ID) for Jacqueline Ann Pongracic is
1083674048 which was assigned by NPPES on 24 Mar, 2006 and it was last updated on 21 Sep, 2011.
Jacqueline Ann Pongracic license number is
036083010 for Pediatrics Pediatric Allergy/Immunology (2080P0201X) in Illinois.
Jacqueline Ann Pongracic specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Complete Profile:
Jacqueline Ann Pongracic basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Allergy/Immunology |
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| Provider Name : | Jacqueline Ann Pongracic |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Jacqueline Ann Pongracic address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2515 N Clark St, Childrens Memorial Hospital Outpatient Center
Chicago, IL, 60614
United States |
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| Phone Number : | 312-227-6010 |
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| Fax Number : | 312-227-9401 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1083674048 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 Mar, 2006 |
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| Last Updated On : | 21 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jacqueline Ann Pongracic are as mentioned. Primary taxonomy code for Jacqueline Ann Pongracic, MD is
2080P0201X (Pediatrics Pediatric Allergy/Immunology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | Yes | 036083010 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Jacqueline Ann Pongracic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 036083010 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2300 Childrens Plaza, #60 Childrens Memorial Hospital
Chicago, IL, 60614
United States |
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| Phone Number : | 312-227-6011 |
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| Fax Number : | 312-227-9401 |
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Business Location:
Patients can refer following map for directions to
Jacqueline Ann Pongracic practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.