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NPI Code Detail

MEDICARE: PAIGE PLINE

MEDICARE: PAIGE PLINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT.007381OH

General Provider Information

NPI Number : 1730977117
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE PLINE
Provider Business Mailing Address
First Line : 555 W MADISON ST APT 3606
Second Line :
City : CHICAGO
State : IL
Zip : 60661-2667
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 820 S DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3728
Country : US
Telephone Number : 312-569-7501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2025
Last Update Date : 03/07/2026

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Directions to “ PAIGE PLINE ” Practice Location

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