| Anthony O Amiewalan Md, Sc | |
|
2965 N Main St Ste A Decatur IL 62526-4397 | |
| (217) 422-0560 | |
| (217) 422-0872 |
| Full Name | Anthony O Amiewalan Md, Sc |
|---|---|
| Speciality | Legal Medicine |
| Location | 2965 N Main St Ste A, Decatur, Illinois |
| Authorized Official Name and Position | Anthony O Amiewalan (DOCTOR) |
| Authorized Official Contact | 2174220560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony O Amiewalan Md, Sc 2665 North Main Street Suite A Decatur IL 62526-3803 Ph: (217) 422-0560 | Anthony O Amiewalan Md, Sc 2965 N Main St Ste A Decatur IL 62526-4397 Ph: (217) 422-0560 |
| NPI Number | 1053543215 |
|---|---|
| Provider Enumeration Date | 08/20/2009 |
| Last Update Date | 03/27/2025 |
| Medicare PECOS PAC ID | 7517003098 |
|---|---|
| Medicare Enrollment ID | O20091014000462 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053543215 | NPI | - | NPPES |
| Provider Name | Anthony O Amiewalan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669486668 PECOS PAC ID: 1658330832 Enrollment ID: I20041005000034 |
Veteran's Administration Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3035 E Mound Rd, Decatur, IL 62526 Phone: 217-875-2670 Fax: 217-875-2689 | |
Community Health Improvement Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 243 West Cerro Gordo Street, Decatur, IL 62526 Phone: 217-422-3940 | |
Planned Parenthood Of Illinois Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3021 N Oakland Ave, Decatur, IL 62526 Phone: 217-877-6474 Fax: 217-877-9452 | |
Gowdar & Gowdar Md Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 741 W Pershing Rd, Decatur, IL 62526 Phone: 217-876-7200 Fax: 217-876-7233 | |
Millikin University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1184 W Main St, Decatur, IL 62522 Phone: 972-367-4845 | |
Decatur Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Gsbll, Decatur, IL 62526 Phone: 217-876-2868 Fax: 217-876-2874 |