Organization
PRINCIPLE ANESTHESIA PLLC
Active
Organization
PRINCIPLE ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KEEDY CRNA (OWNER)
(309) 267-5510
Entity
Organization
Contact information
Practice address
430 MAXINE DR, MORTON, IL 61550-2495
(309) 495-4520
Mailing address
PO BOX 631, LAKE FOREST, IL 60045-0631
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/26/2023
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