Mr. Jerry Lee Stout, OST

Individual provider Customized Equipment (DME) · NPI 1598878837

Mr. Jerry Lee Stout, OST is a Customized Equipment (DME) in River Forest, Illinois. Practices as a sole proprietor. Registered with an NPI since 2006.

In the registry since: 2006

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Practice location Address checks out

7379 W North Ave
River Forest, IL 60305-1230
Phone: (708) 771-4528

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary)	Taxonomy 332BC3200X

Record details

NPI number	1598878837
Entity type	Individual (Type 1)
Gender	Male
Credentials	OST
Sole proprietor	Yes
NPI enumerated	August 17, 2006
Last updated in NPPES	July 8, 2007