| Back To Life Chiropractic, Sc | |
|
1352 Patriot Blvd, Glenview, IL 60026-7777 | |
| (847) 917-3097 | |
| Not Available |
| Full Name | Back To Life Chiropractic, Sc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 1352 Patriot Blvd, Glenview, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194983650 | NPI | - | NPPES |
| 216661 | Other | IL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 038010264 (Illinois) | Primary |
| Provider Name | Thomas G Godbout |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669500104 PECOS PAC ID: 4880638246 Enrollment ID: I20050616000162 |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Life Chiropractic, Sc 454 N Ida Ln, Elmhurst, IL 60126-2210 Ph: () - | Back To Life Chiropractic, Sc 1352 Patriot Blvd, Glenview, IL 60026-7777 Ph: (847) 917-3097 |
Miss Andrea Kay Mursu, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2634 Patriot Blvd, Suite B, Glenview, IL 60026 Phone: 847-730-5618 Fax: 847-730-5673 | |
Dr. Nathan Paul Noblet, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1834 Glenview Rd Ste 2w, Glenview, IL 60025 Phone: 847-730-3988 Fax: 847-730-3989 | |
Kaylee Confer, DC,ND Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2640 Patriot Blvd Ste 220, Glenview, IL 60026 Phone: 224-616-3002 | |
Linda Mihalic-laurie, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2400 Ravine Way Ste 300, Glenview, IL 60025 Phone: 847-724-0777 | |
Dr. Ingrid Maes, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1332 Waukegan Rd, Glenview, IL 60025 Phone: 224-521-1212 | |
Jorge Antonio Rodriguez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2634 Patriot Blvd Ste B, Glenview, IL 60026 Phone: 224-723-5122 Fax: 224-235-4257 | |
Dr. James Rober Laurie, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2400 Ravine Way, Suite 300, Glenview, IL 60025 Phone: 847-724-0777 Fax: 847-724-7860 |