Pride Clinic, SC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PRIDE CLINIC, SC

Practice address

3105 Village Office Place
Champaign, IL 61822

Phone

(217) 352-9108

NPI assigned

May 4, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul E. Pride, D.C.

Title

President

Phone

(217) 352-9108

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1114139904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 VILLAGE OFFICE PLACE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-352-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 VILLAGE OFFICE PLACE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61822",
            "telephone_number": "217-352-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE CLINIC, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "PRIDE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-352-9108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Press, LCSW
• Ann Marie Preston, LPN
• Anna Jean Price, MSW, QMHP
• Marco L Price, MHP
• Richard Albert Price, CRC
• Pride in Your Health Holistic Clinic PC
• J Casey Pride, D.C.
• Colleen Marie Pritchard, MSW, LCSW
• Margaret Pritchard, DPT
• Luke Anthony Pro, MD

• Chiropractor in Champaign, IL
• Providers in Champaign, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.