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Jacqueline Ann Pongracic

Pediatric Allergist

2515 N Clark St Childrens Memorial Hospital Outpatient Center
Chicago , Illinois 60614

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Jacqueline Ann Pongracic

Pediatric Allergist

2515 N Clark St Childrens Memorial Hospital Outpatient Center
Chicago , Illinois 60614

(312) 227-9401

Write a Review Save Call

Jacqueline Ann Pongracic

Pediatric Allergist

2515 N Clark St Childrens Memorial Hospital Outpatient Center
Chicago , Illinois 60614

(312) 227-9401 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Allergist

Languages spoken

  • English

Location

2515 N Clark St Childrens Memorial Hospital Outpatient Center Chicago , Illinois 60614

First Address

  • Jacqueline Ann Pongracic
  • 2300 Childrens Plaza #60 Childrens Memorial Hospital
  • Chicago, IL
  • Zip : 60614
  • Fax : (312) 227-9401
  • Phone : (312) 227-6011

Second Address

  • Jacqueline Ann Pongracic
  • 2515 N Clark St Childrens Memorial Hospital Outpatient Center
  • Chicago, IL
  • Zip : 60614
  • Fax : (312) 227-9401
  • Phone : (312) 227-6010

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FAQs


Where did Jacqueline Ann Pongracic attend graduate school?

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Where did Jacqueline Ann Pongracic do her residency?

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Where did Jacqueline Ann Pongracic do her fellowship?

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Is Jacqueline Ann Pongracic board certified?

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What type of doctor is Jacqueline Ann Pongracic

Pediatric Allergist

In what state does Jacqueline Ann Pongracic practice in?

Illinois

Where is Jacqueline Ann Pongracic ’s practice located?

2515 N Clark St Childrens Memorial Hospital Outpatient Center , Chicago, Illinois, 60614

What is Jacqueline Ann Pongracic ’s gender?

Female

Is Jacqueline Ann Pongracic a sole practitioner?

No

Is Jacqueline Ann Pongracic accepting new patients?

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What languages does Jacqueline Ann Pongracic speak?

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Does Jacqueline Ann Pongracic accept insurance?

Yes, Jacqueline Ann Pongracic accepts insurance

Does Jacqueline Ann Pongracic offers telemedicine?

Jacqueline Ann Pongracic has not indicated if she offers telemedicine

What is Jacqueline Ann Pongracic ’s professional license number?

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What is Jacqueline Ann Pongracic ’s NPI number?

1083674048

Does Jacqueline Ann Pongracic have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2080P0201X Pediatric Allergist 036083010 IL

National Provider Identifier

NPI 1083674048
Provider Name Jacqueline Ann Pongracic
First Address Chicago, IL 60614
Second Address Chicago, IL 60614
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 24/03/2006
Last Update Date 21/09/2011

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
036083010 (05) IL
E56819 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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