| NPI | 1053543215 |
|---|---|
| Doing Business As | ANTHONY O AMIEWALAN MD SC |
| Entity Type | Organization |
| Authorized Contact | ANTHONY O AMIEWALAN Doctor 217-422-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: IL 036112019) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2025-03-27 |