Search › Illinois › 363A00000X
Bryan Stout, PA-C
NPI 1871890129 · on the registry since 2011
Practice
- Address
- 7531 S Stony Island Ave
Chicago, IL 60649 - Phone
- (773) 947-7500
- Organisation at this address
- Hfe79 Inc
1801075429
Sol Med Llc
Kathleen Lee
Pef Clinic, LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 78
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-05
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