Individual
VALERIE L STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
7450 W 63RD ST, SUMMIT, IL 60501-1816
(708) 458-0757
(708) 458-3784
Mailing address
7450 W 63RD ST, SUMMIT, IL 60501-1816
(708) 458-0757
(708) 458-3784
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.008254
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104844885
—
IL
Enumeration date
07/18/2006
Last updated
05/21/2012
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