Individual
ANTOANETA ILIEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8185 E WASHINGTON ST STE 1, CHAGRIN FALLS, OH 44023-4574
(440) 286-9588
(440) 286-2837
Mailing address
PO BOX 8792, BELFAST, ME 04915-8792
(440) 729-3644
(440) 729-4239
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35081185
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2324069
—
OH
Enumeration date
09/15/2006
Last updated
06/30/2011
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