Provider Demographics
NPI:1619854882
Name:LINSTEAD, PAIGE GAIL (PA-C)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:GAIL
Last Name:LINSTEAD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:G
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1722 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:WI
Mailing Address - Zip Code:53511-2850
Mailing Address - Country:US
Mailing Address - Phone:847-345-1163
Mailing Address - Fax:
Practice Address - Street 1:4682 E ROCKTON RD STE 102
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-7475
Practice Address - Country:US
Practice Address - Phone:815-624-1300
Practice Address - Fax:815-624-1301
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085011664363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant