FARRELL GODBOUT

CHICAGO, IL
NPI1922242718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209.009305)
Enumeration Date2009-04-24
Last Update Date2013-02-08
Business Address
-- FARRELL GODBOUT APN
1950 W ROOSEVELT RD
CHICAGO, IL 60608-1245
Phone number: 312-433-3100
Mailing Address
-- FARRELL GODBOUT APN
950 E 61ST ST SUITE 207
CHICAGO, IL 60637-2623
Phone number: 203-980-3553