Most Relevant Information
Provider Data
| NPI Number: | 1003517210 |
| Provider Name: | EMMA WESSELS |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/14/2023 |
| Last Updated: | 05/19/2023 |
Provider Practice Location
1401 WESTERN AVE
CHICAGO HEIGHTS
IL
604113147
Practice Location Phone/Fax
| Phone: | 7739450426 |
| Fax: |
Provider Mailing Location
PO BOX 746721
ATLANTA
GA
303746721
Provider Mailing Phone/Fax
| Phone: | 3127339730 |
| Fax: |