Osvaldo H Wesly
PRAIRIE BLEEDING AND CLOTTING CENTER


Address: 105 S Amos Ave, Springfield, IL 62704-1528
Phone: 2175467100

Osvaldo H Wesly (NPI# 1356441943, PAC ID# 5092772442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.

Physician Overview

Nation Provider ID (NPI) 1356441943
PAC ID by PECOS 5092772442
Professional Enrollment ID I20041216000837
Full Name Osvaldo H Wesly
Organization Legal Name PRAIRIE BLEEDING AND CLOTTING CENTER
Address 105 S Amos Ave
Springfield
IL 62704-1528
Phone Number 2175467100
Gender M
Credential MD
Graduation Year 1984
Primary Specialty HEMATOLOGY/ONCOLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 1254620693
Number of Group Practice Members 2
Accepts Medicare Assignment M

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
141315 ILLINI COMMUNITY HOSPITAL
140015 BLESSING HOSPITAL
140067 OSF SAINT FRANCIS MEDICAL CENTER
140209 METHODIST MEDICAL CENTER OF ILLINOIS

Other Locations

Address Phone Organization
1005 Broadway St, Quincy, IL 62301-2834 2172238400 BLESSING HOSPITAL
105 S Amos Ave, Springfield, IL 62704-1528 2175467100 PRAIRIE BLEEDING AND CLOTTING CENTER

Organization Information

Organization Legal Name PRAIRIE BLEEDING AND CLOTTING CENTER
Physicians 2

Physicians with the same organization

Name Specialty Organization Address
Kathleen W Smith Nurse Practitioner Prairie Bleeding and Clotting Center 2806 N Knoxville Ave, Peoria, IL 61604-2870

Office Location

Street Address 105 S AMOS AVE
City SPRINGFIELD
State IL
Zip 62704-1528

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Competitor

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City SPRINGFIELD
Zip Code 62704
Specialty HEMATOLOGY/ONCOLOGY
City + Specialty SPRINGFIELD + HEMATOLOGY/ONCOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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