Organization
STOUT CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY KENT STOUT D.C. (PRESIDENT)
(309) 454-8622
Entity
Organization
Contact information
Practice address
214 S LINDEN ST, NORMAL, IL 61761-3077
(309) 454-8622
(309) 454-8626
Mailing address
214 S LINDEN ST, NORMAL, IL 61761-3077
(309) 454-8622
(309) 454-8626
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
038-005470
IL
Other
Enumeration date
10/25/2011
Last updated
02/26/2013
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