Provider Demographics
NPI:1659753002
Name:STRATTON, PIPER
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:
Last Name:STRATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:PIPER
Other - Middle Name:
Other - Last Name:GARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2000 LARKIN AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-5879
Mailing Address - Country:US
Mailing Address - Phone:847-468-1550
Mailing Address - Fax:847-468-1551
Practice Address - Street 1:2000 LARKIN AVE STE 202
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-5879
Practice Address - Country:US
Practice Address - Phone:847-468-1550
Practice Address - Fax:847-468-1551
Is Sole Proprietor?:No
Enumeration Date:2015-06-22
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180002002101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional