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
Provider Name :Jacqueline Ann Pongracic
Credential :MD
Gender :Female
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
Phone Number :312-227-6010
Fax Number :312-227-9401
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
NPI Entity Type : Individual
First Enrolment Date : 24 Mar, 2006
Last Updated On : 21 Sep, 2011
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 SpecialityPrimaryLicense No.State
2080P0201XPediatrics Pediatric Allergy/ImmunologyYes036083010IL
Legacy Identifiers:
Other legacy medical identifiers of Jacqueline Ann Pongracic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
036083010MEDICAIDIL
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
Phone Number :312-227-6011
Fax Number :312-227-9401
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.