Individual
KRISTOPHER BRIDGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
951 ESSINGTON RD, JOLIET, IL 60435-8439
(815) 744-4551
(815) 744-4756
Mailing address
951 ESSINGTON RD, JOLIET, IL 60435-8439
(815) 744-4551
(815) 744-4756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006497
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085006497
IL PA LICENSE
IL
Enumeration date
02/07/2018
Last updated
11/03/2020
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