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FARRELL GODBOUT APN
NPI 1922242718
Nurse Practitioner in Chicago, IL

Active since April 24, 2009
1950 W ROOSEVELT RD, CHICAGO, IL 60608(312) 433-3100 Get Directions Write a Review

NPPES record last updated: February 8, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Farrell Godbout Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FARRELL GODBOUT APN (NPI 1922242718) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209.009305) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1922242718
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFARRELL GODBOUTCredential: APN
Location Address1950 W ROOSEVELT RDChicago, IL 60608-1245
Mailing Address950 E 61st St, Suite 207Chicago, IL 60637-2623 · (203) 980-3553
Phone(312) 433-3100
Sole ProprietorNo
Enumeration DateApril 24, 2009
Last NPPES UpdateFebruary 8, 2013
✔ NPI 1922242718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.009305
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1950 W ROOSEVELT RD, Chicago, IL 60608
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Other Identifiers 2

Medicare PIN193911YT2DC
Medicare PIN153342YTADC

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ILLINOIS CENTER FOR REHABILITATION AND EDUCATION
Local Education Agency (LEA)
1950 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 433-3110
GEMILLIA STAPLE LCSW
Social Worker (Clinical)
1950 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 433-3152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Farrell Godbout's NPI number?

The NPI number for Farrell Godbout is 1922242718. It was assigned to this individual provider in the NPPES registry on April 24, 2009.

Where is Farrell Godbout located?

Farrell Godbout practices at 1950 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 433-3100.

What is Farrell Godbout's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Farrell Godbout was last updated on February 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.