Jacqueline Ann Pongracic in Chicago - Pediatric Allergy/immunology
Jacqueline Ann Pongracic - NPI 1083674048
Jacqueline Ann Pongracic is a Pediatric Allergy/immunology in Chicago, Illinois. Jacqueline Ann Pongracic practices all healthcare services and medical treatments related to Pediatric Allergy/immunology. The NPI Number for Jacqueline Ann Pongracic is 1083674048. The last update date is 2011-09-21.
Jacqueline Ann Pongracic's current location address is 2300 Childrens Plaza, Chicago, Illinois. You can contact this provider via phone number 3122276011 and fax number 3122279401. The mailing address for Jacqueline Ann Pongracic is 2300 Childrens Plaza, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline Ann Pongracic |
|---|---|
| Address | 2300 Childrens Plaza, Chicago, Illinois |
| Phone Number | 3122276011 |
| Fax Number | 3122279401 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1083674048 |
|---|---|
| Provider Enumeration Date | 2006-03-24 |
| Last Updated Date | 2011-09-21 |
Provider Mailing Address Detail
| Address | 2300 Childrens Plaza |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60614 |
| Phone Number | 3122276011 |
| Fax Number | 3122279401 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Allergy/immunology |
|---|---|
| Taxonomy | 2080P0201X |
| Licence No | 36083010 |
|
Definition: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36083010 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jacqueline Ann Pongracic by the Centers for Medicare & Medicaid Services (CMS)?
The Jacqueline Ann Pongracic has been assigned the NPI (National Provider Identifier) 1083674048. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Jacqueline Ann Pongracic?
The Jacqueline Ann Pongracic is physically situated at 2300 Childrens Plaza, in the city of Chicago, state of IL, with the postal code 60614.
What is Jacqueline Ann Pongracic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacqueline Ann Pongracic is Pediatric Allergy/immunology, and the corresponding taxonomy classification code for this specialized field is 2080P0201X.
On what date did the Jacqueline Ann Pongracic receive the assignment of its 1083674048 from the Centers for Medicare & Medicaid Services?
The Jacqueline Ann Pongracic was issued its 1083674048 by the Centers for Medicare & Medicaid Services on 2006-03-24.
When was the information regarding Jacqueline Ann Pongracic most recently updated?
The details pertaining to the Jacqueline Ann Pongracic, including its address, specialty, and other relevant information, were last refreshed on 2011-09-21.