Individual
MRS. EVELYN L ONDEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 E MAIN ST, DANVILLE, IL 61832-5100
(217) 841-9710
Mailing address
923 W KIRBY AVE, CHAMPAIGN, IL 61821-5108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041491639
IL
Other
Enumeration date
11/21/2020
Last updated
11/21/2020
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