Individual
PAIGE MICHELLE PETITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 W RANDOLPH ST UNIT 1702, CHICAGO, IL 60607-1435
(785) 307-8043
Mailing address
2800 CLAY EDWARDS DRIVE,, CENTRAL VERIFICATION OFFICE AND PAYOR ENROLLMENT, NORTH KANSAS CITY, MO 64116
(816) 691-1655
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2026006522
MO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
02/12/2026
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