Provider Demographics
NPI:1255672226
Name:PAJOR, TERESA (OT)
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:PAJOR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:NYDEGGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:900 RAND RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-2359
Mailing Address - Country:US
Mailing Address - Phone:847-324-3976
Mailing Address - Fax:847-929-1154
Practice Address - Street 1:1275 E BELVIDERE RD STE 150
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-2083
Practice Address - Country:US
Practice Address - Phone:847-735-0828
Practice Address - Fax:847-735-0838
Is Sole Proprietor?:No
Enumeration Date:2013-03-15
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056010181225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist