person
Mr. Jerry Lee Stout, OST
Customized Equipment (DME) in River Forest, Illinois
NPI 1598878837

Jerry Lee Stout is a Customized Equipment (DME) based in River Forest, IL and is specialized in Customized Equipment. Jerry Lee Stout practices in River Forest, IL and has the professional credentials of OST. The NPI Number for Jerry Lee Stout is 1598878837 and holds a License No. (Illinois).

The current practice location address for Jerry Lee Stout is 7379 W North Ave, River Forest, IL and can be reached out via phone at 708-771-4528.

Location: 7379 W North Ave, River Forest, IL, 60305-1230
person
Provider Profile Details
NPI Number
1598878837
Provider Name
Jerry Lee Stout
Credential
OST
Provider Entity Type
Individual
Gender
Male
Address
7379 W North Ave, River Forest, IL, 60305-1230
Phone Number
708-771-4528
Fax Number
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7379 W North Ave
City
State
Zip
60305-1230
Phone Number
708-771-4528
Fax Number
person
Provider Business Mailing Address Details
Address
7379 W North Ave
City
State
Zip
60305-1230
Phone Number
708-771-4528
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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