Individual
MISTY WESSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1259 RICKERT DR, SUITE #200, NAPERVILLE, IL 60540-8902
(630) 369-1572
(630) 369-6139
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 942-7998
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-002704
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-002704
STATE LICENSE
IL
Enumeration date
08/08/2006
Last updated
07/28/2023
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