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General NPI Number Information
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NPI Number | 1982714218
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Entity Type | Organization
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Legal Business Name | PRAIRIE CARDIOVASCULAR CONSULTANTS LTD
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 3051 HOLLIS DR FL 2
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City | SPRINGFIELD
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State | IL
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Zip | 62704-7450
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Country | US
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Telephone | 217-492-9695
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Fax |
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Provider Business Mailing Address
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Address Line | 3051 HOLLIS DR FL 2
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City | SPRINGFIELD
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State | IL
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Zip | 62704-7450
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Country | US
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Telephone | 217-788-0706
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Fax | 217-492-9695
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MR. LEANNE YANNI
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Credential | MD
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Telephone | 217-492-9648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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