Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS G GODBOUT III, D.C., CCSP
Active Sole ProprietorDR. THOMAS G GODBOUT III, D.C., CCSP is a Sports Physician (Chiropractor) healthcare provider located in GLENVIEW, Illinois. NPI 1669500104 is currently active in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · GLENVIEW, IL
Registration Details
- NPI Number
- 1669500104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2007 (19.275929772426 yrs)
- Last Updated
- Aug 26, 2016
- Licenses
-
038010264 (IL)038010264 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1352 PATRIOT BLVDGLENVIEW, IL, 600267777Browse IL providers · Browse ZIP 60026
- Phone
- 8476570400
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
- Additional Specialty
- Sports Physician (Chiropractor)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.