Individual
MICHELE JANE KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CRNA
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-2000
Mailing address
400 N LA SALLE DR APT 1004, CHICAGO, IL 60654-2650
(214) 417-2691
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
351572
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
209030101
IL
Other
Enumeration date
07/24/2023
Last updated
10/13/2025
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