Individual provider · Type 1 NPI
Kelly Stout, APRN, AGPCNP-C
Nurse Practitioner · Mokena, IL
Practice location
19657 S La Grange Rd
Mokena, IL 60448-9360
Fax (708) 995-7144
Other practice locations
- 4321 Fir St, Wound Clinic, East Chicago, IN 46312-3049 · (219) 392-2740
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 71018107A (IN) |
| Nurse Practitioner Primary | 363L00000X | 209.034209 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
Another provider at this address
Other nurse practitioner providers in Mokena
- Ann Lynn Pampalone, RNNurse Practitioner Mokena, IL NPI 1124181011
- Angelica Marie Diaz, FNP-CNurse Practitioner Mokena, IL NPI 1134954829
- Nicole Fitzgerald, FNP-BCNurse Practitioner Mokena, IL NPI 1174012454
- Angela Quiroz, APN-CNPNurse Practitioner Mokena, IL NPI 1174212088
- Ceres K. Kangou, APN-CNPNurse Practitioner Mokena, IL NPI 1194285213
- Anthony Michael Hasson, FNP-BCNurse Practitioner Mokena, IL NPI 1235615279
- Ann Scoigletti, APN, FNP-BCNurse Practitioner Mokena, IL NPI 1245445394
- Colleen M. Grandowski, ACNPNurse Practitioner Mokena, IL NPI 1265768352
About NPI 1386596724
Kelly Stout, APRN, AGPCNP-C's National Provider Identifier is 1386596724, issued on Feb 10, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mokena, IL. The record was last updated on Jun 23, 2026.