Provider Demographics
NPI:1669213740
Name:PAJAK, MEGAN JOSEPHINE (LPC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:JOSEPHINE
Last Name:PAJAK
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 N CICERO AVE STE 630
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60646-4325
Mailing Address - Country:US
Mailing Address - Phone:773-932-9597
Mailing Address - Fax:773-243-0519
Practice Address - Street 1:6160 N CICERO AVE STE 630
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4325
Practice Address - Country:US
Practice Address - Phone:773-932-9597
Practice Address - Fax:773-243-0519
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178016965101YP2500X
IL180016790101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional