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Stout Chiropractic Clinic, Pc
Medical Specialty Clinic/Center in Normal, Illinois
NPI 1831475532

Stout Chiropractic Clinic, Pc is a Medical Specialty Clinic/Center based in Normal, IL and is specialized in Medical Specialty. Stout Chiropractic Clinic, Pc practices in Normal, IL. The NPI Number for Stout Chiropractic Clinic, Pc is 1831475532 and holds a License No. 038-005470 (Illinois).

The current practice location address for Stout Chiropractic Clinic, Pc 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, 61761-3077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831475532
Provider Name
Stout Chiropractic Clinic, Pc
Credential
Provider Entity Type
Organization
Address
214 S Linden St, Normal, IL, 61761-3077
Phone Number
309-454-8622
Fax Number
309-454-8626
Provider Enumeration Date
10/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
214 S Linden St
City
Normal
State
Illinois
Zip
61761-3077
Phone Number
309-454-8622
Fax Number
309-454-8626
person
Provider Business Mailing Address Details
Address
214 S Linden St
City
Normal
State
Illinois
Zip
61761-3077
Phone Number
309-454-8622
Fax Number
309-454-8626
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
038-005470 (Illinois)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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