Search › Illinois › 363L00000X
Kelly Stout, APRN, AGPCNP-C
NPI 1386596724 · on the registry since 2026 · sole proprietor
Practice
- Address
- 19657 S La Grange Rd
Mokena, IL 60448 - Phone
- (708) 476-8205
- Fax
- (708) 995-7144
- Clinicians at this address
- 2
Additional practice sites
- 4321 Fir St, East Chicago, IN
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LG0600X
- Licence states on file
- IN, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois