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Organization

CIWIRC ( CENTRAL ILLINOIS WORK INJURY RESOURCE CENTER )

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MATTHEW P DUVENDACK (PRESIDENT)
(309) 497-0300
Entity
Organization

Contact information

Practice address
736 SW WASHINGTON ST STE 2A, PEORIA, IL 61602-1643
(309) 497-0300
(309) 497-0922
Mailing address
736 SW WASHINGTON ST STE 2A, PEORIA, IL 61602-1643
(309) 497-0300
(309) 497-0922

Taxonomy

Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
IL

Other

Enumeration date
05/17/2007
Last updated
08/22/2020
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