Jan Elman Stout is a Clinical in Chicago, Illinois. Jan Elman Stout practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jan Elman Stout is 1013087717. The last update date is 2007-07-08.
Jan Elman Stout's current location address is 680 N Lake Shore Dr, Chicago, Illinois. You can contact this provider via phone number 3126959797. The mailing address for Jan Elman Stout is 680 N Lake Shore Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan Elman Stout |
|---|---|
| Address | 680 N Lake Shore Dr, Chicago, Illinois |
| Phone Number | 3126959797 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1013087717 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 680 N Lake Shore Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606114546 |
| Phone Number | 3126959797 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code issued to Jan Elman Stout by the Centers for Medicare & Medicaid Services?
The Jan Elman Stout has been assigned the NPI (National Provider Identifier) 1013087717 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jan Elman Stout?
The Jan Elman Stout is physically situated at 680 N Lake Shore Dr, in the city of Chicago, state of IL, with the postal code 606114546.
What is the Jan Elman Stout's specialty and taxonomy code?
The Jan Elman Stout's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Jan Elman Stout receive the assignment of its 1013087717 from the Centers for Medicare & Medicaid Services?
The Jan Elman Stout was issued its 1013087717 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date was the information regarding Jan Elman Stout, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jan Elman Stout, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.