Individual
EVELENA ONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
210 W MCKINLEY AVE STE 1, DECATUR, IL 62526-5858
(217) 876-6600
(217) 876-6606
Mailing address
210 W MCKINLEY AVE STE 1, DECATUR, IL 62526-5858
(217) 329-3232
(217) 329-1670
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036143984
IL
Other
Enumeration date
05/07/2007
Last updated
11/12/2025
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