Individual
JOHN ROBERT SOUTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4842
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-4842
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
ME179701
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2026
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