Individual
DR. OSVALDO H WESLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 S AMOS AVE, SPRINGFIELD, IL 62704-1528
(217) 546-7100
(217) 546-7111
Mailing address
105 S. AMOS AVE, SPRINGFIELD, IL 62704
(217) 546-7100
(217) 546-7111
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
036-089289
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036089289
—
IL
Enumeration date
09/23/2006
Last updated
04/07/2025
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