ANTHONY O AMIEWALAN MD, SC is a legal medicine in Decatur, IL. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. ANTHONY O AMIEWALAN MD, SC NPI is 1053543215. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1750 E LAKE SHORE DR
SUITE 320
DECATUR, IL
ZIP 62521-803
Phone: (217) 422-0560
Fax: (217) 422-0872
The provider's authorized official is Anthony O Amiewalan .
The authorized official title is Owner and has the following contact phone number (217) 422-0560.
The CLIA number assigned to this NPI record is 36D0866197 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/20/2009 and was last updated on 8/20/2009.