CIWIRC ( CENTRAL ILLINOIS WORK INJURY RESOURCE CENTER ) (NPI# 1508073347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508073347 |
| Entity Type | Organization |
| Organization Name | CIWIRC ( CENTRAL ILLINOIS WORK INJURY RESOURCE CENTER ) |
| Practice Address |
736 Sw Washington St Ste 2a Peoria IL 61602-1643 |
| Practice Telephone | 3094970300 |
| Practice Fax Number | 3094970922 |
| Mailing Telephone | 3094970300 |
| Mailing Fax Number | 3094970922 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MATTHEW P DUVENDACK (PRESIDENT) |
| Authorized Official Telephone | 3094970300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | IL | Hospitals |
| Street Address |
736 SW WASHINGTON ST STE 2A |
| City | PEORIA |
| State | IL |
| Zip Code | 61602-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679811590 | Iwin (integrated Work Injury Network) | Clinic/Center | 736 Sw Washington St Ste 2a, Peoria, IL 61602-1643 | 2013-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1235675836 | Cheryl Beckman | Registered Nurse | 211 Fulton Street, Suite 207, One Technology Plaza, Peoria, IL 61602 | 2017-01-06 |
| 1063957942 | Rosemary Ince | Registered Nurse | 211 Fulton St. Suite 207, One Technology Plaza, Peoria, IL 61602 | 2016-12-30 |
| 1962674820 | Lisa Jean Burckhartzmeyer | Psychiatry & Neurology | 228 Ne Jefferson St, Peoria, IL 61602 | 2008-03-31 |
| 1669503587 | Jill Larson | Counselor | 330 Sw Washington Street, Peoria, IL 61602 | 2007-03-09 |
| 1265407399 | Cardiac Consultants Sc | Internal Medicine | 900 Main Street, Suite 320, Peoria, IL 61602 | 2006-02-22 |
| 1013364470 | Rafal Szymczuk | Student in an Organized Health Care Education/Training Program | 900 Main Street, Suite 720, Peoria, IL 61602 | 2016-05-16 |
| 1043693831 | Kari Beth Watts | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-06-30 |
| 1881072791 | Kristen Dent | Family Medicine | 815 Main St, Peoria, IL 61602 | 2015-05-12 |
| 1023422797 | Andrew Wang | Psychiatry & Neurology | 900 Main St Ste 580, Peoria, IL 61602 | 2014-06-20 |
| Find all providers in zip 61602 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679939417 | Kyuhun Park | Special Hospital | 2540 N Harlem Ave, Elmwood Park, IL 60707-2046 | 2016-01-09 |
| 1902210164 | Alexis De Gale | Special Hospital | 1050 Bonaventure Dr, Elk Grove Village, IL 60007-3277 | 2014-06-16 |
| 1417369976 | Arthur Berg | Special Hospital | 14 Bradford Ln, Oak Brook, IL 60523-2322 | 2014-06-02 |
| 1063823557 | Beaumont Small Animal Clinic | Special Hospital | 1304 N Cunningham Ave, Urbana, IL 61802-1817 | 2014-05-19 |
| 1932407772 | Kevin Wayne Ames | Special Hospital | 2005 Mall St, Collinsville, IL 62234-1832 | 2011-03-02 |
| 1366645590 | Jeremy Peter Buishas | Special Hospital | 21 S. Park Blvd, Glen Ellyn, IL 60137 | 2007-06-06 |
| 1851731640 | Southern Illinois University School of Medicine | Special Hospital | 701 N 1st St, Room D443, Springfield, IL 62702-3757 | 2013-06-26 |
| 1396083796 | County Line Animal Hospita | Special Hospital | 2200 S Washington St, Naperville, IL 60565-2495 | 2013-01-21 |
| 1184998627 | Patrice Kathleen Griffin | Special Hospital | 2525 S Michigan Ave, B-522, Chicago, IL 60616-2333 | 2012-03-01 |
| 1275812182 | Mercy Hospital Medical Centre | Special Hospital | 2525 S Michigan Ave, Mercy Hospital Medical Center, Chicago, IL 60616-2333 | 2011-08-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CIWIRC ( CENTRAL ILLINOIS WORK INJURY RESOURCE CENTER ).
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.