Organization
IWIN (INTEGRATED WORK INJURY NETWORK)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW PETE DUVENDACK (PRESIDENT)
(309) 497-0300
Entity
Organization
Contact information
Practice address
736 SW WASHINGTON ST STE 2A, PEORIA, IL 61602-1643
(309) 497-1014
(309) 272-0004
Mailing address
482 WYLIE DR, NORMAL, IL 61761-5405
(309) 497-0300
(309) 497-1038
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
036082645
IL
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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