Individual
PAIGE KAY PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-5861
Mailing address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-5861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010013
IL
Other
Enumeration date
10/06/2023
Last updated
07/31/2026
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