- Practice location
- 2600 S Michigan Ave Ste 104, Chicago, IL 60616-2857
- Phone
- 774-206-1125
- Fax
- —
- Last updated
- January 30, 2023
Keith Pridgeon is a Counselor based in Chicago, IL. Keith Pridgeon practices in Chicago, IL. The NPI Number for Keith Pridgeon is 1235845496. The current practice location address for Keith Pridgeon is 2600 S Michigan Ave Ste 104, Chicago, IL 60616-2857 and can be reached out via phone at 774-206-1125.
Provider Profile Details
- NPI Number
- 1235845496
- Provider Name
- Keith Pridgeon
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2600 S Michigan Ave Ste 104, Chicago, IL 60616-2857
- Phone Number
- 774-206-1125
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Other Names
- Chaun Pridgeon (Other Name)
- Provider Enumeration Date
- January 30, 2023
- Last Update Date
- January 30, 2023
- Certification Date
- January 30, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2600 S Michigan Ave Ste 104
Chicago, IL 60616-2857 - City
- Chicago
- State
- Illinois
- Zip
- 60616-2857
- Phone Number
- 774-206-1125
Provider Business Mailing Address Details
- Address
- 354 Merrimack St Ste 395
Lawrence, MA 01843-1755 - City
- Lawrence
- State
- MA
- Zip
- 01843-1755
- Phone Number
- 774-206-1125
- Fax Number
- 774-628-9657
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Chicago, IL
View all Counselors in Chicago →Frequently Asked Questions
What is the NPI number of Keith Pridgeon?
The NPI number of Keith Pridgeon is 1235845496. It was assigned on January 30, 2023 and is currently active in the NPPES registry.
What is the specialty of Keith Pridgeon?
Keith Pridgeon is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Keith Pridgeon practice?
The practice location is 2600 S Michigan Ave Ste 104, Chicago, IL 60616-2857. The office can be reached at 774-206-1125 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235845496 directly on the NPPES registry website.