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Organization

LISA STOUT D.C., S.C.

Active
Other names
Oswego Health & Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LISA STOUT D.C. (PRESIDENT)
(630) 554-6111
Entity
Organization

Contact information

Practice address
57 W VAN BUREN ST, OSWEGO, IL 60543-7213
(630) 554-6111
(630) 554-6166
Mailing address
57 W VAN BUREN ST, OSWEGO, IL 60543-7213
(630) 554-6111
(630) 554-6166

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Enumeration date
02/07/2008
Last updated
02/07/2008
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