Basic Information
| Provider Information | |||||||||
| NPI: | 1952437691 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ONO | ||||||||
| FirstName: | JILL | ||||||||
| MiddleName: | C. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7455 W WASHINGTON AVE | ||||||||
| Address2: | STE 301 | ||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891284340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027323441 | ||||||||
| FaxNumber: | 7027322310 | ||||||||
| Practice Location | |||||||||
| Address1: | 3059 S MARYLAND PKWY STE 100 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891096209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7027323441 | ||||||||
| FaxNumber: | 7027322310 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2007 | ||||||||
| LastUpdateDate: | 04/12/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 13826 | NV | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.