EVELENA ONTIVEROS

DECATUR, IL
NPI1689886962
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RX0202X Internal Medicine, Medical Oncology
(Licence: NY  273332)
Additional Taxonomies207RH0000X Internal Medicine, Hematology
(Licence: IA  40470)
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: IA  40470)
207R00000X Internal Medicine
(Licence: IA  40470)
Enumeration Date2007-05-07
Last Update Date2017-05-08
Business Address
-- EVELENA ONTIVEROS MD PhD
210 W MCKINLEY AVE STE 1
DECATUR, IL 62526-5858
Phone number: 217-879-6600
Mailing Address
-- EVELENA ONTIVEROS MD PhD
210 W MCKINLEY AVE SUITE 1
DECATUR, IL 62526-5858
Phone number: 217-329-3232