Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony O Amiewalan MD, SC

Organization Gynecology Physician · NPI 1457367070

Anthony O Amiewalan MD, SC is a Gynecology Physician in Decatur, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
Specialties on file
6

Practice location Address checks out

2965 N Main St Ste A
Decatur, IL 62526-4397
Phone: (217) 422-0560
Fax: (217) 422-0872
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2965 N Main St Ste A, Decatur, IL 62526-4397 — (217) 422-0560

Specialties & licences

Obstetrics Physician (primary) Taxonomy 207VX0000X · Licence 036112019 (IL)
Gynecology Physician Taxonomy 207VG0400X · Licence 036112019 (IL)
Gynecology Physician Taxonomy 207VG0400X
Clinic/Center Taxonomy 261Q00000X
Primary Care Clinic/Center Taxonomy 261QP2300X
Rural Health Clinic/Center Taxonomy 261QR1300X

Record details

NPI number1457367070
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationVivian Womens Center, Inc
Authorized official Georgia Amiewalan — Business Manager · (217) 422-0560
Other names Anthony Amiewalan Md Sc; Vivian Women Center , Inc; Anthony O Amiewalan
NPI enumeratedAugust 1, 2006
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address2965 N Main St Ste A, Decatur, IL 62526-4397

Other providers in Decatur