Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISE WESSOL, D.O.
Active Sole ProprietorELISE WESSOL, D.O. is a Addiction Medicine (Family Practice) healthcare provider located in URBANA, Illinois. NPI 1972984698 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · URBANA, IL
Registration Details
- NPI Number
- 1972984698
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 18, 2015 (11.17644559216 yrs)
- Last Updated
- Dec 24, 2024
- Licenses
-
036150604 (IL)125.067468 (IL)036150604 (IL)036-150604 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
204 W UNIVERSITY AVEURBANA, IL, 618011741Browse IL providers · Browse ZIP 61801
- Phone
- 2173836039
- Fax
- 2173283581
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Addiction Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.