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

Prairie Bleeding and Clotting Center

Organization Specialist · NPI 1518313287

Prairie Bleeding and Clotting Center provides Specialist services 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 Ave
Springfield, IL 62704-1528
Phone: (217) 546-7100
Fax: (217) 546-7111
Show map & directions

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 number1518313287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Osvaldo Wesly — Medical Director · (217) 414-1041
NPI enumeratedMay 11, 2016
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address105 S Amos Ave, Springfield, IL 62704-1528

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