Pride Clinic, Sc

NPI #1114139904 in Champaign, Illinois

Provider Information

NPI Number: 1114139904
Entity Type: Organization
Organization Name: Pride Clinic, Sc
Primary Specialty: Chiropractor
Enumeration Date: May 4, 2007
Last Updated: Oct 2, 2007

Practice Location

Address: 3105 VILLAGE OFFICE PLACE
City: Champaign
State: Illinois
ZIP Code: 61822
Phone: (217) 352-9108

Authorized Official

Name: DR. PAUL E. PRIDE, D.C.
Title: PRESIDENT
Phone: (217) 352-9108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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