JACQUELINE ANN PONGRACIC MD
NPI 1083674048
Pediatrics - Pediatric Allergy/Immunology in Chicago, IL

Active since March 24, 2006
2515 N CLARK ST, CHILDRENS MEMORIAL HOSPITAL OUTPATIENT CENTER, CHICAGO, IL 60614(312) 227-6010(312) 227-9401 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Ann Pongracic Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE ANN PONGRACIC MD (NPI 1083674048) is an individual pediatric allergy/immunology provider in Chicago, Illinois, licensed in Illinois (036083010) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1083674048
Entity TypeIndividualFemale
Primary Taxonomy2080P0201X
Provider Legal NameJACQUELINE ANN PONGRACICCredential: MD
Location Address2515 N CLARK ST, CHILDRENS MEMORIAL HOSPITAL OUTPATIENT CENTERChicago, IL 60614
Mailing Address2300 Childrens Plaza, #60 Childrens Memorial HospitalChicago, IL 60614 · (312) 227-6011 · Fax (312) 227-9401
Fax(312) 227-9401
Sole ProprietorNo
Enumeration DateMarch 24, 2006
Last NPPES UpdateSeptember 21, 2011
NPI 1083674048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License Licensed in IL · 036083010
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
2515 N CLARK ST, Chicago, IL 60614

Other Identifiers 3

Medicare ID-Type UnspecifiedP55130IL
Medicare UPINE56819
Medicaid036083010IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
2515 N CLARK ST
CHICAGO, IL 60614
Physical Therapist
2515 N CLARK ST
CHICAGO, IL 60614
Dietitian, Registered
2515 N CLARK ST
CHICAGO, IL 60614
Pediatrics
2515 N CLARK ST, SUITE 905
CHICAGO, IL 60614
Orthotist
2515 N CLARK ST, STE 802
CHICAGO, IL 60614
Physical Therapist
2515 N CLARK ST
CHICAGO, IL 60614
Physical Therapist
2515 N CLARK ST
CHICAGO, IL 60614
Occupational Therapist
2515 N CLARK ST
CHICAGO, IL 60614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Pongracic's NPI number?

The NPI number for Jacqueline Pongracic is 1083674048. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Jacqueline Pongracic located?

Jacqueline Pongracic practices at 2515 N Clark St Childrens Memorial Hospital Outpatient Center, Chicago, IL 60614. The listed phone number is (312) 227-6010.

What is Jacqueline Pongracic's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

When was this NPI record last updated?

The NPPES record for Jacqueline Pongracic was last updated on September 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.