MEDICARE: JACQUELINE MARIE KORPICS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	125-065497	IL
2	208000000X	Pediatrics Physician	036143314	IL
3	2083P0901X	Public Health & General Preventive Medicine Physician	C202720	CA
4	208000000X	Pediatrics Physician	C202720	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124432901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE MARIE KORPICS MD

Provider Business Mailing Address
First Line	:	2100 WEBSTER ST STE 110
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2100 WEBSTER ST STE 110
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-2374
Country	:	US
Telephone Number	:	415-666-1860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/19/2014
Last Update Date	:	10/02/2025

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Directions to “ JACQUELINE MARIE KORPICS MD” Practice Location

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