Prairie Bleeding and Clotting Center
Prairie Bleeding and Clotting Center is a Specialist in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2016.
- Licensed in
- IL
- In the registry since
- 2016
Practice location Address checks out
105 S Amos AveSpringfield, IL 62704-1528
Phone: (217) 546-7100
Fax: (217) 546-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 036.089289 (IL) |
|---|
Record details
| NPI number | 1518313287 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Osvaldo Wesly — Medical Director · (217) 414-1041 |
| NPI enumerated | May 11, 2016 |
| Last updated in NPPES | April 7, 2025 |
| Certification date | April 7, 2025 |
| Mailing address | 105 S Amos Ave, Springfield, IL 62704-1528 |
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