Stout, Brooke E
Stout, Brooke E is an individual health care provider with primary practice located at 542 E Boughton Rd , Bolingbrook IL 60440-2181. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Stout, Brooke E can be contacted via phone (630) 783-1850.Contact Information
Primary practice address
542 E Boughton Rd
Bolingbrook IL 60440-2181
Phone: (630) 783-1850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1942411186 |
|---|---|
| LBN Legal business name | Stout, Brooke E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2007 |
| Last updated | Feb 25th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942411186 | NPPES |
| Illinois | Other | 09932455 | BLUE CROSS BLUE SHIELD |
Popular Providers
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West Hooper, Gail Maureen
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