Provider Demographics
NPI:1760464762
Name:PAJAK, ELIZABETH (DDS)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:
Last Name:PAJAK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8526Q W GOLF RD
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-1154
Mailing Address - Country:US
Mailing Address - Phone:847-583-8181
Mailing Address - Fax:
Practice Address - Street 1:8526Q W GOLF RD
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-1154
Practice Address - Country:US
Practice Address - Phone:847-583-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice