Provider Demographics
NPI:1205223872
Name:MCCLEES, PAIGE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:MCCLEES
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:NORBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:833 SAINT VINCENTS DR STE 100
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1609
Practice Address - Country:US
Practice Address - Phone:205-730-3190
Practice Address - Fax:205-666-7170
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-22
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210022251S0007X
AL52622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports