Most Relevant Information
Provider Data
| NPI Number: | 1003697095 |
| Provider Name: | PAIGE KAY PACHECO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 085010013 |
Most Important Dates
| Enumeration Date: | 10/06/2023 |
| Last Updated: | 08/06/2024 |
Provider Practice Location
5851 W 95TH ST STE 300
OAK LAWN
IL
604532415
Practice Location Phone/Fax
| Phone: | 7084999800 |
| Fax: |
Provider Mailing Location
918 EAGLE DR
EMMAUS
PA
180491946
Provider Mailing Phone/Fax
| Phone: | 1443636120 |
| Fax: |