MEDICARE: MEGAN JOSEPHINE PAJAK LPC

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	101YP2500X	Professional Counselor	178016965	IL
2	101YP2500X	Professional Counselor	180016790	IL

General Provider Information

NPI Number	:	1669213740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN JOSEPHINE PAJAK LPC

Provider Business Mailing Address
First Line	:	6160 N CICERO AVE STE 630
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4325
Country	:	US
Telephone Number	:	773-932-9597
Fax Number	:	773-243-0519

Provider Business Practice Location Address
First Line	:	6160 N CICERO AVE STE 630
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60646-4325
Country	:	US
Telephone Number	:	773-932-9597
Fax Number	:	773-243-0519

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

Provider Enumeration Date	:	06/04/2024
Last Update Date	:	02/21/2025

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Directions to “ MEGAN JOSEPHINE PAJAK LPC” Practice Location

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