Palack Mahajan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019035215 Issued in IL

Practice address

9744 N Il Route 47
Huntley, IL 60142-9323

Phone

(847) 669-2787

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Huntley Smiles PLLC

  dba Smiles by Farr

  • General Practice Dentistry
  • Huntley, IL
  • NPI 1790542363
  NPD
• Smiles by Farr, LTD.

  dba Farr Dental

  • General Practice Dentistry
  • Huntley, IL
  • NPI 1346477601
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1861235434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 MONTCLAIR DR",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131829",
            "telephone_number": "847-533-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9744 N IL ROUTE 47",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601429323",
            "telephone_number": "847-669-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAJAN",
        "first_name": "PALACK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019035215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferrara Louise Lund, LCSW
• Roger Alan Lundquist, M.D.
• Korinne Mae Lusterio, PA-C
• Matilda Lutaj, FNP-C
• Jennifer Magnuson, APN
• Laurel Malibiran, PT
• Zahid Mehmood Malik, MD
• Elizabeth Manke
• Elpido B. Marcelo, PH.D.
• Debra S. Masek, D.T.

• Dentist in Huntley, IL
• Providers in Huntley, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.