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Contact Information

ELISE WESSOL, DO
204 W UNIVERSITY AVE
URBANA, IL61801-1741
 Phone: 217-383-6039
 Fax: 217-328-3581
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELISE WESSOL · (Female)

NPI # 1972984698
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/18/2015
Last updated 12/24/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036-150604
  • IL License # 036150604
  • IL License # 125.067468
Hospital affiliation(s)
  • CARLE FOUNDATION HOSPITAL - (Acute Care)
    611 WEST PARK STREET
    URBANA, IL 61801
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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