ANTHONY O AMIEWALAN MD, SC
Organization (NPI-2)
Active
Legal Medicine
Provider Information
- NPI Number
1053543215- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2965 N MAIN ST STE A, DECATUR, IL, 625264397
- Phone
- (217) 422-0560
- Fax
- (217) 422-0872
Specialties & Taxonomies
Legal Medicine
Primary License: IL #036112019
Clinic/Center
Clinic/Center, Health Services