Thomas Jefferson Pridemore Jr. (NPI# 1861575227, PAC ID# 2062309065) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1861575227 |
| PAC ID by PECOS | 2062309065 |
| Professional Enrollment ID | I20040309000122 |
| Full Name | Thomas Jefferson Pridemore Jr. |
| Address |
109 S Johnson St Macomb IL 61455-2134 |
| Phone Number | 3093339264 |
| Gender | M |
| Credential | DC |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2002 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 109 S Johnson St, Macomb, IL 61455-2134 | 3093339264 |
| Street Address |
109 S JOHNSON ST |
| City | MACOMB |
| State | IL |
| Zip | 61455-2134 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan M Bruenger | Chiropractic | 1526 W Jackson St, Macomb, IL 61455-1900 | |
| Michael P Bednarz | Psychiatry | Lakeview Medical and Psychiatric Healthcare LLC | 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 |
| Ashley Mae Martin | Nurse Practitioner | Lakeview Medical and Psychiatric Healthcare LLC | 1601 W Jackson St, Suite 104, Macomb, IL 61455-1901 |
| Terry B Vail | Optometry | 131 S Randolph St, Macomb, IL 61455-2207 | |
| Christine M Standard | Qualified Audiologist | 227 S Randolph St, Macomb, IL 61455-2209 | |
| David R Culver | Optometry | 222 S Randolph St, Macomb, IL 61455-2210 | |
| Gary L Sash | Chiropractic | 117 E Carroll St, Macomb, IL 61455-2222 | |
| Becky J Hoelscher | Clinical Social Worker | North Central Behavioral Health Systems, Inc | 301 E Jefferson St, Macomb, IL 61455-2312 |
| Hannah L Bengtson | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
| Tim A Bengtson | Optometry | Tim A Bengtson Od PC | 820 E Jackson St, Macomb, IL 61455-2412 |
| Find all physicians in zip 61455 | |||
| City | MACOMB |
| Zip Code | 61455 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MACOMB + CHIROPRACTIC |
Please comment or provide details below to improve the information on Thomas Jefferson Pridemore Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.