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Brooke Stout
NPI 1942411186 · on the registry since 2007
Practice
- Address
- 542 E Boughton Rd
Bolingbrook, IL 60440 - Phone
- (630) 783-1850
- Organisation at this address
- Meli Development Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-25
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