Deirdre Stout is a Pediatrics in Olney, Illinois. Deirdre Stout practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Deirdre Stout is 1811002041. The last update date is 2013-07-25.
Deirdre Stout's current location address is 905 E Main St, Olney, Illinois. You can contact this provider via phone number 6183937732 and fax number 6183953123. The mailing address for Deirdre Stout is 905 E Main St, Olney, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deirdre Stout |
|---|---|
| Address | 905 E Main St, Olney, Illinois |
| Phone Number | 6183937732 |
| Fax Number | 6183953123 |
| Sole Proprietor | N |
| Credentials | RN,BS |
NPI Number Detail
| NPI Number | 1811002041 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2013-07-25 |
Provider Mailing Address Detail
| Address | 905 E Main St |
|---|---|
| City | Olney |
| State | Illinois (IL) |
| Post Code | 624502623 |
| Phone Number | 6183937732 |
| Fax Number | 6183953123 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 163Wp0200X |
| Licence No | 41164518 |
|
Definition: A registered nurse who cares for infant, child, and adolescent patients. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8030288 | IL | BLUECROSS/BLUESHIELD IL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Deirdre Stout by the Centers for Medicare & Medicaid Services?
The Deirdre Stout has been issued the NPI (National Provider Identifier) 1811002041, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Deirdre Stout's facilities are situated?
The facilities of Deirdre Stout are physically located at the following address: 905 E Main St, Olney, IL, 624502623.
What is Deirdre Stout's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Deirdre Stout's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 163Wp0200X.
On what date did Deirdre Stout receive its 1811002041 assignment from the Centers for Medicare & Medicaid Services?
The Deirdre Stout was assigned its 1811002041 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Deirdre Stout most recently updated or refreshed?
The details pertaining to the Deirdre Stout, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-07-25.