NPI Profile for ELISE WESSOL in URBANA, IL.
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 |
| 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 |
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| Hospital affiliation(s) |
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ELISE WESSOL
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