Individual provider Active NPI

Paige Smith, PA-C

  • Physician Assistant
  • Joliet, IL
National Provider Identifier
1356104996
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010372 Issued in IL
Practice address
330 Madison St Ste 220
Joliet, IL 60435-6565
Phone
(630) 420-2323
Fax
(630) 420-8822
NPI assigned
Feb 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085010372 IL Primary

Addresses

Primary practice location

330 Madison St Ste 220
Joliet, IL 60435-6565

Mailing address

Pob 7132960
Chicago, IL 60677-0001
Phone (630) 469-9200

Other practice location 1

1150 Essington Rd Ste 101
Joliet, IL 60435-8447
Phone (888) 938-3838

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address psmith312954@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517002467 IL Practitioner - Physician Assistant 3173964384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dupage Medical Group LTDGroup PAC ID 5496667941, 1,326 clinicians

Practice addresses (Care Compare)

330 Madison St
Suite 103
Joliet, IL 60435-6572
Phone (815) 725-2121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Jan 5, 2026 Accepting new patients
Dupage Medical Group LTD CurrentSince Jan 5, 2026 Accepting new patients

Locations

330 Madison St
#220
Joliet, IL 60435
Phone (630) 420-2323

330 Madison St
Ste 220
Joliet, IL 60435
Phone (630) 420-2323

330 Madison St
Ste 103
Joliet, IL 60435
Phone (815) 741-2900

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1356104996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 7132960",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606770001",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MADISON ST STE 220",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356565",
            "telephone_number": "630-420-2323",
            "fax_number": "630-420-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Essington Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604358447",
            "country_code": "US",
            "telephone_number": "888-938-3838",
            "fax_number": "888-919-1083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psmith312954@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "330 Madison St Ste 220",
            "city": "Joliet",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604356565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.