Provider Demographics
NPI:1245418789
Name:STRATEGIC THERAPEUTICS AND PILATES, L.L.C.
Entity Type:Organization
Organization Name:STRATEGIC THERAPEUTICS AND PILATES, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:WHITESIDE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:630-401-3739
Mailing Address - Street 1:7N644 CLOVERFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-5437
Mailing Address - Country:US
Mailing Address - Phone:630-401-3739
Mailing Address - Fax:
Practice Address - Street 1:7N644 CLOVERFIELD CIR
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-5437
Practice Address - Country:US
Practice Address - Phone:630-401-3739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty