IndividualActive
Jerry Stout, OST
NPI 1598878837 · Customized Equipment (DME) · River Forest, IL
Provider details
- NPI number
- 1598878837
- Entity type
- Individual
- Primary specialty
- Customized Equipment (DME)Suppliers
- Credential
- OST
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
7379 W North Ave
River Forest, IL 60305-1230
Phone: (708) 771-4528
Approximate (ZIP-level) locationGet directions
Mailing address
7379 W North Ave
River Forest, IL 60305-1230
Registry dates
- Enumerated
- 2006-08-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.