Anthony O Amiewalan Md, Sc

LBN: Anthony O Amiewalan Md, Sc
Anthony O Amiewalan Md, Sc is an health care organization with primary practice located at 1750 E Lake Shore Dr Suite 320, Decatur IL 62521-3803. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Anthony O Amiewalan Md, Sc can be contacted via phone (217) 422-0560, or through Amiewalan, Anthony O via phone (217) 422-0560.

Contact Information

Primary practice address
1750 E Lake Shore Dr Suite 320 Decatur IL 62521-3803
Phone: (217) 422-0560
Fax: (217) 422-0872
Website:
Map and Directions
Authorized official contact:
Name: Amiewalan, Anthony O Doctor of Medicine (MD)
Phone: (217) 422-0560

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 036112019 Illinois

Profile Details

NPI number 1053543215
LBN Legal business name Anthony O Amiewalan Md, Sc
DBA Doing business as
Authorized official Amiewalan, Anthony O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2009
Last updated Aug 20th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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