Individual
ERIC L WESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2136 VADALABENE DR, MARYVILLE, IL 62062-5632
(618) 288-4677
(618) 288-4699
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 651-0444
(618) 654-5439
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012251
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
539018
HEALTHLINK
IL
01
—
P00099811
MEDICARE RAILROAD
IL
Enumeration date
06/21/2005
Last updated
09/04/2007
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