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PRIDEMORE CHIROPRACTIC CENTER, INC
NPI 1215010673
Chiropractor in Macomb, IL

Active since October 21, 2006
112 N SCOTLAND ST, MACOMB, IL 61455(309) 837-6555 Get Directions Write a Review

NPPES record last updated: February 4, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pridemore Chiropractic Center, Inc NPPES

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

PRIDEMORE CHIROPRACTIC CENTER, INC (NPI 1215010673) is a healthcare organization registered as a chiropractor in Macomb, Illinois and active in the NPI registry since October 2006. The organization lists Thomas Jefferson Pridemore, President, as its authorized official.

NPPES Registry Identity

NPI1215010673
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePRIDEMORE CHIROPRACTIC CENTER, INC
Location Address112 N SCOTLAND STMacomb, IL 61455-2535
Mailing AddressPo Box 893Macomb, IL 61455-0893 · (309) 837-6555
Phone(309) 837-6555
Organization SubpartNo
Authorized OfficialThomas Jefferson PridemorePresident · (309) 837-6555
Enumeration DateOctober 21, 2006
Last NPPES UpdateFebruary 4, 2010
✔ NPI 1215010673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed · 038009915
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.
112 N SCOTLAND ST, Macomb, IL 61455
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Other Identifiers 1

Medicare PINK02962IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Pridemore Chiropractic Center, Inc's NPI number?

The NPI number for Pridemore Chiropractic Center, Inc is 1215010673. It was assigned to this organization in the NPPES registry on October 21, 2006.

Where is Pridemore Chiropractic Center, Inc located?

Pridemore Chiropractic Center, Inc is located at 112 N Scotland St, Macomb, IL 61455. The listed phone number is (309) 837-6555.

What is Pridemore Chiropractic Center, Inc'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 Pridemore Chiropractic Center, Inc was last updated on February 4, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.