Dr. Jeannine Piccinich
Pediatrician
2300 N Childrens Plz Outreach Physician Services
Chicago
, Illinois 60614-3363
Dr. Jeannine Piccinich
Pediatrician
2300 N Childrens Plz Outreach Physician Services
Chicago
, Illinois 60614-3363
(773) 880-3068
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Jeannine Piccinich
- 2300 N Childrens Plz Box 152
- Chicago, IL
- Zip : 60614-3363
- Fax : (773) 880-3068
- Phone : (773) 880-6903
Second Address
- Dr. Jeannine Piccinich
- 2300 N Childrens Plz Outreach Physician Services
- Chicago, IL
- Zip : 60614-3363
- Fax : (773) 880-3068
- Phone : (773) 880-6903
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FAQs
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Is Dr. Jeannine Piccinich a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | IL |
National Provider Identifier
| NPI | 1003800772 |
|---|---|
| Provider Name | Dr. Jeannine Piccinich |
| First Address | Chicago, IL 60614-3363 |
| Second Address | Chicago, IL 60614-3363 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2005 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H96372 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.