Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JERRY LEE STOUT, OST
Active Sole ProprietorMR. JERRY LEE STOUT, OST is a Customized Equipment (DME) healthcare provider located in RIVER FOREST, Illinois. NPI 1598878837 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · RIVER FOREST, IL
Registration Details
- NPI Number
- 1598878837
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2006 (20.001310473535 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7379 W NORTH AVERIVER FOREST, IL, 603051230Browse IL providers · Browse ZIP 60305
- Phone
- 7087714528
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.