JACQUELINE ANN PONGRACIC MD
NPI 1083674048
Pediatrics - Pediatric Allergy/Immunology in Chicago, IL
NPI Status: Active since March 24, 2006
Contact Information
2515 N CLARK ST
CHILDRENS MEMORIAL HOSPITAL OUTPATIENT CENTER
CHICAGO, IL
ZIP 60614
Phone: (312) 227-6010
Fax: (312) 227-9401
- Individual
- Female
- Pediatrics
- Pediatric Allergy/Immunology
About JACQUELINE PONGRACIC
This page provides the complete NPI Profile along with additional information for Jacqueline Pongracic, a pediatrician established in Chicago, Illinois with a medical specialization in Pediatrics, focusing in pediatric allergy/immunology . The healthcare provider is registered in the NPI registry with number 1083674048 assigned on March 2006. The practitioner's primary taxonomy code is 2080P0201X with license number 036083010 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1083674048
- Provider Name
- JACQUELINE ANN PONGRACIC MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2515 N CLARK ST CHILDRENS MEMORIAL HOSPITAL OUTPATIENT CENTER CHICAGO, IL 60614
- Location Phone
- (312) 227-6010
- Location Fax
- (312) 227-9401
- Mailing Address
- 2300 CHILDRENS PLAZA #60 CHILDRENS MEMORIAL HOSPITAL CHICAGO, IL 60614
- Mailing Phone
- (312) 227-6011
- Mailing Fax
- (312) 227-9401
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-24-2006
- Last Update Date
- 09-21-2011
- Code Navigator
A pediatrician like Jacqueline Pongracic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Allergy/Immunology
- Taxonomy Code
- 2080P0201X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036083010
- License State
- IL
- Taxonomy Description
- A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P55130 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | |
| E56819 | MEDICARE UPIN (02) | ||
| 036083010 | MEDICAID (05) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 6 | 7 | 4 | 0 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 12 | 7 | 8 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 1 + 2 + 7 + 8 + 0 + 8 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1083674048 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1952361909 | RAJESH KUMAR MD Individual | Pediatrics (Pediatric Allergy/Immunology) | 2515 N CLARK ST CHILDRENS MEMORIAL HOSPITAL OUTPATIENT CENTER CHICAGO, IL 60614 (312) 227-6010 |
| 1093763799 | MRS. MARIA MANUEL-RUBIO APN Individual | Pediatrics | 2515 N CLARK ST SUITE 905 CHICAGO, IL 60614 (773) 327-2021 |
| 1912109596 | DR. JOSHUA BRIAN WECHSLER M.D. Individual | Pediatrics (Pediatric Gastroenterology) | 2515 N CLARK ST CHICAGO, IL 60614 (773) 880-4355 |
| 1548448574 | WINDY CITY PHYSICAL THERAPY, P.C. Organization | Clinic/Center (Physical Therapy) | 2515 N CLARK ST SUITE 907 CHICAGO, IL 60614 (773) 294-1582 |
| 1548421126 | MS. JENNIFER MEADE MAGRUDER LCSW Individual | Social Worker (Clinical) | 2515 N CLARK ST 8TH FLOOR CHICAGO, IL 60614 (773) 880-4882 |
| 1699974857 | REBECCA ANN QUINONES PT, DPT Individual | Physical Therapist | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-6640 |
| 1730525239 | MS. NIKTA PIROUZ CPO Individual | Specialist | 2515 N CLARK ST SUITE 802 BOX 46 CHICAGO, IL 60614 (312) 227-6210 |
| 1073068664 | MARY NOREEN CHENG PT, DPT Individual | Physical Therapist | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-6240 |
| 1558808402 | MEAGHAN GILB PT Individual | Physical Therapist (Pediatrics) | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-6240 |
| 1760993901 | MISS ELIZABETH VONGONTARD DPT Individual | Physical Therapist | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-6240 |
| 1356853717 | SARAH STEPHANIE PARKS MSOT Individual | Occupational Therapist | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-2238 |
| 1215423843 | SOURABH NAGALE CPO Individual | Orthotist | 2515 N CLARK ST STE 802 CHICAGO, IL 60614 (312) 227-6210 |
| 1003359969 | KATHLEEN NEEDHAM OTR/L Individual | Occupational Therapist | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-6974 |
| 1831673417 | MELISSA YANES Individual | Speech-Language Pathologist | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-8800 |
| 1740764026 | JAZMYN LOPEZ M.S Individual | Speech-Language Pathologist | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-6322 |
| 1871980516 | MICHELLE KRISCHEL M.S., PA-C, ATC, Individual | Physician Assistant | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-6515 |
| 1235754763 | SARAH KAPPERS PT, DPT Individual | Physical Therapist | 2515 N CLARK ST CHICAGO, IL 60614 (312) 227-6450 |
| 1245799246 | EMILY PAIGE BARTON OTR/L Individual | Occupational Therapist | 2515 N CLARK ST CHICAGO, IL 60614 (800) 543-7362 |
| 1073254199 | MADELINE SQUIER MS RDN LDN CLC Individual | Dietitian, Registered | 2515 N CLARK ST CHICAGO, IL 60614 (414) 861-1875 |
| 1467722090 | LAURA CATHERINE DOYLE APN Individual | Nurse Practitioner (Pediatrics) | 2515 N CLARK ST CHICAGO, IL 60614 (800) 543-7362 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083674048, enumerated in the NPI registry as an "individual" on March 24, 2006
The provider is located at 2515 N Clark St Childrens Memorial Hospital Outpatient Center Chicago, Il 60614 and the phone number is (312) 227-6010
The provider's speciality is Pediatrics with taxonomy code 2080P0201X with a focus in Pediatric Allergy/Immunology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on March 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.