Individual
JOHN GORDON PROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1379
(630) 933-1600
Mailing address
916 TULIP LN, NAPERVILLE, IL 60540-7336
(847) 756-0269
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036156476
IL
207L00000X
Anesthesiology Physician
Primary
125.072197
IL
Other
Enumeration date
05/01/2018
Last updated
01/17/2024
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