Organization
PRIDE IN YOUR HEALTH HOLISTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA B PRIDE D.C. (PRESIDENT)
(217) 359-0707
Entity
Organization
Contact information
Practice address
110 N 1ST ST, CHAMPAIGN, IL 61820-4107
(217) 359-0707
(217) 359-0710
Mailing address
110 N 1ST ST, CHAMPAIGN, IL 61820-4107
(217) 359-0707
(217) 359-0710
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
Primary
—
—
Other
Enumeration date
08/18/2011
Last updated
09/29/2011
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