Organization Active NPI

Lisa Stout D.C., S.C.

  • Chiropractor
  • Oswego, IL
National Provider Identifier
1699953083
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LISA STOUT D.C., S.C.
Practice address
57 W Van Buren St
Oswego, IL 60543-7213
Phone
(630) 554-6111
Fax
(630) 554-6166
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lisa Stout, D.C.
Title
President
Phone
(630) 554-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X IL Primary

Addresses

Primary practice location

57 W Van Buren St
Oswego, IL 60543-7213

Mailing address

57 W Van Buren St
Oswego, IL 60543-7213
Phone (630) 554-6111

Other names 1

  • Oswego Health & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

57 W Van Buren St
Oswego, IL 60543
Phone (630) 554-3578

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1699953083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 W VAN BUREN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437213",
            "telephone_number": "630-554-6111",
            "fax_number": "630-554-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W VAN BUREN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437213",
            "telephone_number": "630-554-6111",
            "fax_number": "630-554-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA STOUT D.C., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "STOUT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-554-6111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oswego Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.