Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS JEFFERSON PRIDEMORE JR., D.C.
Active Sole ProprietorDR. THOMAS JEFFERSON PRIDEMORE JR., D.C. is a Chiropractor healthcare provider located in MACOMB, Illinois. NPI 1861575227 is currently active in the NPPES registry. Verify at CMS.
Chiropractor · MACOMB, IL
Registration Details
- NPI Number
- 1861575227
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2006 (19.785919804197 yrs)
- Last Updated
- Oct 15, 2012
- License
-
038009915 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 S JOHNSON STMACOMB, IL, 614552134Browse IL providers · Browse ZIP 61455
- Phone
- 3093339264
- Primary Specialty
-
Chiropractor
111N00000X
Other Chiropractor Providers in MACOMB, IL
| Name | Credential | NPI |
|---|---|---|
| GARY LEE SASH | DC MS | 1497829188 |
| DR. LESLIE L BALDWIN | DC | 1083768568 |
| DR. CRAIG A. STEAR | D.C. | 1154504926 |
| DR. RYAN MATTHEW BRUENGER | DC | 1245463629 |
| DR. DEREK BRIAN KING | D.C. | 1255661609 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.