Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Principle Anesthesia PLLC

Organization Certified Registered Nurse Anesthetist · NPI 1063128049

Principle Anesthesia PLLC is a Certified Registered Nurse Anesthetist in Morton, Illinois. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

430 Maxine Dr
Morton, IL 61550-2495
Phone: (309) 495-4520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1063128049
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Keedy — Owner · (309) 267-5510
NPI enumeratedJanuary 24, 2023
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing addressPo Box 631, Lake Forest, IL 60045-0631

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