Individual
MOLLY AMORY STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
363 W. ERIE STREET, SUITE 350, CHICAGO, IL 60654
(312) 995-1955
(312) 995-1956
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036.156344
IL
207N00000X
Dermatology Physician
125-071619
IL
390200000X
Student in an Organized Health Care Education/Training Program
271913
MA
Other
Enumeration date
06/20/2017
Last updated
09/20/2023
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