Organization
PRAIRIE CARDIOVASCULAR CONSULTANTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEANNE YANNI MD (PRESIDENT & CEO)
(217) 492-9648
Entity
Organization
Contact information
Practice address
3051 HOLLIS DR FL 2, SPRINGFIELD, IL 62704-7450
(217) 492-9695
Mailing address
3051 HOLLIS DR FL 2, SPRINGFIELD, IL 62704-7450
(217) 788-0706
(217) 492-9695
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA3360
RAILROAD MEDICARE
IL
01
—
CA6852
RAILROAD MEDICARE
IL
01
—
CC1312
RAILROAD MEDICARE
IL
01
—
CE0750
RAILROAD MEDICARE
IL
01
—
CI5907
RAILROAD MEDICARE
IL
Enumeration date
08/30/2006
Last updated
02/18/2026
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