Individual
KEITH PRIDGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 S MICHIGAN AVE STE 104, CHICAGO, IL 60616-2857
(774) 206-1125
Mailing address
354 MERRIMACK ST STE 395, LAWRENCE, MA 01843-1755
(774) 206-1125
(774) 628-9657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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