| Anthony Amiewalan MD SC | |
|
2965 N Main St Ste A Decatur IL 62526-4397 | |
| (217) 422-0560 | |
| (217) 422-0872 |
| Full Name | Anthony Amiewalan MD SC |
|---|---|
| Speciality | Obstetrics & Gynecology - Obstetrics |
| Location | 2965 N Main St Ste A, Decatur, Illinois |
| Authorized Official Name and Position | Georgia M Amiewalan (BUSINESS MANAGER) |
| Authorized Official Contact | 2174220560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Amiewalan MD SC 2965 N Main St Ste A Decatur IL 62526-4397 Ph: (217) 422-0560 | Anthony Amiewalan MD SC 2965 N Main St Ste A Decatur IL 62526-4397 Ph: (217) 422-0560 |
| NPI Number | 1457367070 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 06/03/2026 |
| Certification Date | 06/03/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457367070 | NPI | - | NPPES |
| 036112019 | Medicaid | IL |
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