Most Relevant Information
Provider Data
| NPI Number: | 1003800772 |
| Provider Name: | JEANNINE PICCINICH M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/08/2005 |
| Last Updated: | 07/09/2007 |
Provider Practice Location
2300 N CHILDRENS PLZ
OUTREACH PHYSICIAN SERVICES
CHICAGO
IL
606143363
Practice Location Phone/Fax
| Phone: | 7738806903 |
| Fax: | 7738803068 |
Provider Mailing Location
2300 N CHILDRENS PLZ
BOX 152
CHICAGO
IL
606143363
Provider Mailing Phone/Fax
| Phone: | 7738806903 |
| Fax: | 7738803068 |
Suggested EMR
Pediatrics EMR