Jan Elman Stout
Clinical Psychologist
675 N Saint Clair St Suite 14-200
Chicago
, Illinois 60611-5975
Jan Elman Stout
Clinical Psychologist
675 N Saint Clair St Suite 14-200
Chicago
, Illinois 60611-5975
(312) 695-9797
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Jan Elman Stout
- 680 N Lake Shore Dr Suite 1000
- Chicago, IL
- Zip : 60611-4546
- Phone : (312) 695-9797
Second Address
- Jan Elman Stout
- 675 N Saint Clair St Suite 14-200
- Chicago, IL
- Zip : 60611-5975
- Phone : (312) 695-7269
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | IL | |
| Y | 103TC0700X | Clinical Psychologist | IL |
National Provider Identifier
| NPI | 1013087717 |
|---|---|
| Provider Name | Jan Elman Stout |
| First Address | Chicago, IL 60611-4546 |
| Second Address | Chicago, IL 60611-5975 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.