IndividualActive
Ivy Paige, CST
NPI 1003249996 · Surgical Technologist · Normal, IL
Provider details
- NPI number
- 1003249996
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CST
- Sex
- Female
- Sole proprietor
- No
Practice location
1604 Visa Dr
Ste. 2
Normal, IL 61761-2195
Phone: (309) 846-4716
Fax: (309) 454-7348
Mailing address
1604 Visa Dr
Normal, IL 61761-2195
Registry dates
- Enumerated
- 2013-08-14
- Last updated
- 2013-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.