Individual provider · Type 1 NPI

Jacqueline Ann Pongracic, MD

Pediatric Allergy/Immunology Physician · Chicago, IL

NPI number 1083674048 Active

Practice location

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

Fax (312) 227-9401

Mailing address

2300 Childrens Plaza, #60 Childrens Memorial Hospital
Chicago, IL 60614

Specialties and licenses

TaxonomyCodeLicense
Pediatric Allergy/Immunology Physician Primary 2080P0201X036083010 (IL)

Pediatric Allergy/Immunology Physician: A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

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About NPI 1083674048

Jacqueline Ann Pongracic, MD's National Provider Identifier is 1083674048, issued on Mar 24, 2006. The primary taxonomy on file is Pediatric Allergy/Immunology Physician (2080P0201X), and the practice location is in Chicago, IL. The record was last updated on Sep 21, 2011.