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Dr. Thomas Jefferson Pridemore JR., DC
Chiropractor in Macomb, Illinois
NPI 1861575227

Thomas Jefferson Pridemore JR. is a Chiropractor based in Macomb, IL. Thomas Jefferson Pridemore JR. practices in Macomb, IL and has the professional credentials of DC. The NPI Number for Thomas Jefferson Pridemore JR. is 1861575227 and holds a License No. 038009915 (Illinois).

The current practice location address for Thomas Jefferson Pridemore JR. is 109 S Johnson St, Macomb, IL and can be reached out via phone at 309-333-9264. You can also correspond with Thomas Jefferson Pridemore JR. through the mailing address at PO BOX 893, MACOMB, IL - 61455-0893 (mailing address contact number: 309-333-9264).

Location: 109 S Johnson St, Macomb, IL, 61455-0893
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861575227
Provider Name
Thomas Jefferson Pridemore JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
109 S Johnson St, Macomb, IL, 61455-0893
Phone Number
309-333-9264
Fax Number
Provider Enumeration Date
10/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05532009 01 IL BLUECROSS/BLUESHIELD ID
038009915 05 IL
institution
Provider Business Practice Location Address Details
Address
109 S Johnson St
City
Macomb
State
Illinois
Zip
61455-2134
Phone Number
309-333-9264
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 893
City
Macomb
State
Illinois
Zip
61455-0893
Phone Number
309-333-9264
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038009915 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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