Individual
DR. MARCIA STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APN, FNP-C
Contact information
Practice address
1030 N STATE ST, UNIT 5 L, CHICAGO, IL 60610-5476
(312) 282-9919
Mailing address
1030 N STATE ST, UNIT 5 L, CHICAGO, IL 60610-5476
(312) 282-9919
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209011156
IL
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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