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PRINCIPLE ANESTHESIA PLLC
NPI 1063128049
Nurse Anesthetist, Certified Registered in Morton, IL

Active since January 24, 2023
430 MAXINE DR, MORTON, IL 61550(309) 495-4520 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Principle Anesthesia Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRINCIPLE ANESTHESIA PLLC (NPI 1063128049) is a healthcare organization registered as a nurse anesthetist, certified registered in Morton, Illinois and active in the NPI registry since January 2023. The organization lists Michael Keedy, Owner, as its authorized official.

NPPES Registry Identity

NPI1063128049
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NamePRINCIPLE ANESTHESIA PLLC
Location Address430 MAXINE DRMorton, IL 61550-2495
Mailing AddressPo Box 631Lake Forest, IL 60045-0631 · (847) 615-2858
Phone(309) 495-4520
Organization SubpartNo
Authorized OfficialMichael KeedyOwner · (309) 267-5510
Enumeration DateJanuary 24, 2023
Last NPPES UpdateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1063128049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
430 MAXINE DR, Morton, IL 61550
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPECTRUM HEALTH INC
Nurse Anesthetist, Certified Registered
430 MAXINE DR
MORTON, IL 61550
Tazewell County (309) 495-4520
SIGNATURE ANESTHESIA LLC
Anesthesiology
430 MAXINE DR
MORTON, IL 61550
Tazewell County (309) 495-5420
RENAL INTERVENTION CENTER, PLLC
Clinic/Center (Ambulatory Surgical)
430 MAXINE DR
MORTON, IL 61550
Tazewell County (309) 266-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Principle Anesthesia PLLC's NPI number?

The NPI number for Principle Anesthesia PLLC is 1063128049. It was assigned to this organization in the NPPES registry on January 24, 2023.

Where is Principle Anesthesia PLLC located?

Principle Anesthesia PLLC is located at 430 Maxine Dr, Morton, IL 61550. The listed phone number is (309) 495-4520.

What is Principle Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

When was this NPI record last updated?

The NPPES record for Principle Anesthesia PLLC was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.