Search › Illinois › 111NS0005X
Thomas Godbout, D.C., CCSP
NPI 1669500104 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1352 Patriot Blvd
Glenview, IL 60026 - Phone
- (847) 657-0400
- Organisation at this address
- Back To Life Chiropractic, Sc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111NS0005X
111NS0005X
- Also registered as
- 111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois