IndividualActive
Jacqueline Pongracic, MD
NPI 1083674048 · Pediatric Allergy/Immunology Physician · Chicago, IL
Provider details
- NPI number
- 1083674048
- Entity type
- Individual
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036083010 (IL)
Practice location
2515 N Clark St
Childrens Memorial Hospital Outpatient Center
Chicago, IL 60614
Phone: (312) 227-6010
Fax: (312) 227-9401
Mailing address
2300 Childrens Plaza
Chicago, IL 60614
Registry dates
- Enumerated
- 2006-03-24
- Last updated
- 2011-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.