IWIN (INTEGRATED WORK INJURY NETWORK) (NPI# 1679811590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679811590 |
Entity Type | Organization |
Organization Name | IWIN (INTEGRATED WORK INJURY NETWORK) |
Practice Address |
736 Sw Washington St Ste 2a Peoria IL 61602-1643 |
Mailing Address |
482 Wylie Dr Normal IL 61761-5405 |
Practice Telephone | 3094971014 |
Practice Fax Number | 3092720004 |
Mailing Telephone | 3094970300 |
Mailing Fax Number | 3094971038 |
Enumeration Date | 2013-01-28 |
Last Update Date | 2013-01-28 |
Authorized Official Name | MR. MATTHEW PETE DUVENDACK (PRESIDENT) |
Authorized Official Telephone | 3094970300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
036082645 | IL | Ambulatory Health Care Facilities |
Street Address |
736 SW WASHINGTON ST STE 2A |
City | PEORIA |
State | IL |
Zip Code | 61602-1643 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508073347 | Ciwirc ( Central Illinois Work Injury Resource Center ) | Special Hospital | 736 Sw Washington St Ste 2a, Peoria, IL 61602-1643 | 2007-05-17 |
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 | 261QX0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Occupational Medicine |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093957771 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 14155 N 83rd Ave, Building 8, Suite 148, Peoria, AZ 85381-5639 | 2009-03-27 |
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1154871127 | Concentra | Clinic/Center | 7421 South Cass Avenue, Darien, IL 60561-3607 | 2016-10-13 |
1679927222 | Child Therapy and Rehabilitation LLC | Clinic/Center | 790 Fletcher Dr, Unit 101, Elgin, IL 60123-4755 | 2016-04-20 |
1356715684 | Indus Medicine Ltd | Clinic/Center | 739 Hoover Dr, Carol Stream, IL 60188-1590 | 2015-11-24 |
1598131393 | Functional Life Consulting, LLC | Clinic/Center | 813 Seward St, Unit 3s, Evanston, IL 60202-2882 | 2015-08-15 |
1427488899 | Let's Grow, Inc. | Clinic/Center | 1746 W 17th St Rear, Chicago, IL 60608 | 2013-11-20 |
1447592704 | Occupational Health Centers of Illinois PC | Clinic/Center | 7421 S Cass Ave, Darien, IL 60561-3607 | 2013-03-25 |
1518204650 | Healthworks Medical Group of Illinois S C | Clinic/Center | 11601 W Touhy Ave, O'hare International Airport- Terminal 2- Lower Level, Chicago, IL 60666-5047 | 2013-01-09 |
1427366921 | Healthworks Medical Group of Illinois S C | Clinic/Center | 5100 Lake Terrance Ne, Mount Vernon, IL 62864-9665 | 2010-09-17 |
1932426285 | Medworks Joliet Corp | Clinic/Center | 815 Campus Drive, Joliet, IL 60435 | 2010-04-27 |
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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.