person
Dr. Jeffrey K Stout, DC
Chiropractor in Normal, Illinois
NPI 1366471815

Jeffrey K Stout is a Chiropractor based in Normal, IL. Jeffrey K Stout practices in Normal, IL and has the professional credentials of DC. The NPI Number for Jeffrey K Stout is 1366471815 and holds a License No. 038005470 (Illinois).

The current practice location address for Jeffrey K Stout is 214 S Linden St, Normal, IL and can be reached out via phone at 309-454-8622 and via fax at 309-454-8626.

Location: 214 S Linden St, Normal, IL, 61761-3008
person
Provider Profile Details
NPI Number
1366471815
Provider Name
Jeffrey K Stout
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
214 S Linden St, Normal, IL, 61761-3008
Phone Number
309-454-8622
Fax Number
309-454-8626
Provider Enumeration Date
06/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5715400 01 IL BLUE CROSS BLUE SHIELD
006591 01 IL HEALTH ALLIANCE
institution
Provider Business Practice Location Address Details
Address
214 S Linden St
City
State
Zip
61761-3008
Phone Number
309-454-8622
Fax Number
309-454-8626
person
Provider Business Mailing Address Details
Address
214 S Linden St
City
State
Zip
61761-3008
Phone Number
309-454-8622
Fax Number
309-454-8626
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
038005470 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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