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PRIDE CLINIC, SC
NPI 1114139904
Chiropractor in Champaign, IL

Active since May 04, 2007
3105 VILLAGE OFFICE PLACE, CHAMPAIGN, IL 61822(217) 352-9108 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pride Clinic, Sc NPPES

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

PRIDE CLINIC, SC (NPI 1114139904) is a healthcare organization registered as a chiropractor in Champaign, Illinois and active in the NPI registry since May 2007. The organization lists Paul E. Pride, President, as its authorized official.

NPPES Registry Identity

NPI1114139904
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRIDE CLINIC, SC
Location Address3105 VILLAGE OFFICE PLACEChampaign, IL 61822
Mailing Address3105 Village Office PlaceChampaign, IL 61822 · (217) 352-9108
Phone(217) 352-9108
Organization SubpartNo
Authorized OfficialPaul E. PridePresident · (217) 352-9108
Enumeration DateMay 4, 2007
Last NPPES UpdateOctober 2, 2007
✔ NPI 1114139904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.

3105 VILLAGE OFFICE PLACE, Champaign, IL 61822
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Other Identifiers 1

Medicare UPINT38684IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Pride Clinic, Sc's NPI number?

The NPI number for Pride Clinic, Sc is 1114139904. It was assigned to this organization in the NPPES registry on May 4, 2007.

Where is Pride Clinic, Sc located?

Pride Clinic, Sc is located at 3105 Village Office Place, Champaign, IL 61822. The listed phone number is (217) 352-9108.

What is Pride Clinic, Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Pride Clinic, Sc was last updated on October 2, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.