JOHN GORDON PROUT

WINFIELD, IL
NPI1154810513
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125.072197)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IL  036156476)
Enumeration Date2018-05-01
Last Update Date2024-01-17
Business Address
JOHN GORDON PROUT DO
25 N WINFIELD RD
WINFIELD, IL 60190-1379
Phone number: 630-933-1600
Mailing Address
JOHN GORDON PROUT DO
916 TULIP LN
NAPERVILLE, IL 60540-7336
Phone number: 847-756-0269