Dr. Thomas Jefferson Pridemore Jr. is a Macomb, Illinois based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Thomas Jefferson Pridemore Jr. as General Chiropractor is 038009915 in Illinois. Dr. Thomas Jefferson Pridemore Jr. is qualified as 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.
Complete Profile:
Dr. Thomas Jefferson Pridemore Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
109 S Johnson St, Macomb, Illinois, 61455-2134
Phone:
309-333-9264
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1861575227
NPI Enumeration Date:
21 Oct, 2006
NPI Last Update On:
15 Oct, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Thomas Jefferson Pridemore Jr. are as mentioned below.
License Number
Specialization
State
Status
038009915
Chiropractor
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Thomas Jefferson Pridemore Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
05532009
Other
Illinois
BLUECROSS/BLUESHIELD ID
038009915
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 893, Macomb, Illinois
Zip:
61455-0893
Phone Number:
309-333-9264
Fax Number:
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Patients can reach Dr. Thomas Jefferson Pridemore Jr. at 109 S Johnson St, Macomb, Illinois or can call to book an appointment on 309-333-9264. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.