Healthcare Provider Details

I. General information

NPI: 1538063755
Provider Name (Legal Business Name): STRIDE PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 FAIRVIEW AVE
WESTMONT IL
60559-2709
US

IV. Provider business mailing address

790 LENOX AVE
BOLINGBROOK IL
60490-4986
US

V. Phone/Fax

Practice location:
  • Phone: 224-539-7676
  • Fax:
Mailing address:
  • Phone: 224-539-7676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARVA MUFADDAL GADLY
Title or Position: PHYSICAL THERAPIST
Credential: DPT
Phone: 224-539-7676