Individual provider · Type 1 NPI
Thomas Jefferson Pridemore Jr., DC
Chiropractor · Macomb, IL
NPI number
1861575227
Active
Practice location
109 S Johnson St
Macomb, IL 61455-2134
Mailing address
PO Box 893
Macomb, IL 61455-0893
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038009915 (IL) |
Chiropractor: 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.
Other chiropractor providers in Macomb
About NPI 1861575227
Thomas Jefferson Pridemore Jr., DC's National Provider Identifier is 1861575227, issued on Oct 21, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Macomb, IL. The record was last updated on Oct 15, 2012.