Brooke E Stout is a Clinical in Bolingbrook, Illinois. Brooke E Stout practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brooke E Stout is 1942411186. The last update date is 2008-02-25.
Brooke E Stout's current location address is 542 E Boughton Rd, Bolingbrook, Illinois. You can contact this provider via phone number 6307831850. The mailing address for Brooke E Stout is 542 E Boughton Rd, Bolingbrook, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brooke E Stout |
|---|---|
| Address | 542 E Boughton Rd, Bolingbrook, Illinois |
| Phone Number | 6307831850 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1942411186 |
|---|---|
| Provider Enumeration Date | 2007-05-26 |
| Last Updated Date | 2008-02-25 |
Provider Mailing Address Detail
| Address | 542 E Boughton Rd |
|---|---|
| City | Bolingbrook |
| State | Illinois (IL) |
| Post Code | 604402181 |
| Phone Number | 6307831850 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9932455 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Brooke E Stout by the Centers for Medicare & Medicaid Services?
The Brooke E Stout has been assigned the NPI (National Provider Identifier) 1942411186 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brooke E Stout's facilities are geographically located?
The facilities of Brooke E Stout are physically situated at the following location: 542 E Boughton Rd, Bolingbrook, IL, 604402181.
What is Brooke E Stout's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brooke E Stout is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1942411186 to Brooke E Stout?
The Centers for Medicare & Medicaid Services assigned the 1942411186 to Brooke E Stout on 2007-05-26.
When was the information regarding Brooke E Stout most recently updated?
The details pertaining to the Brooke E Stout, including its address, specialty, and other relevant information, were last refreshed on 2008-02-25.