Prairie Bleeding and Clotting Center
NPI #1518313287 in Springfield, Illinois
Provider Information
- NPI Number
- 1518313287
- Entity Type
- Organization
- Organization Name
- Prairie Bleeding and Clotting Center
- Primary Specialty
- Specialist
- Enumeration Date
- May 11, 2016
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 105 S AMOS AVE
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-1528
- Phone
- (217) 546-7100
Authorized Official
- Name
- DR. OSVALDO H WESLY, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (217) 414-1041
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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