CIWIRC ( CENTRAL ILLINOIS WORK INJURY RESOURCE CENTER )
NPI 1508073347
Special Hospital in Peoria, IL

NPI Status: Active since May 17, 2007

Contact Information

736 SW WASHINGTON ST STE 2A
PEORIA, IL
ZIP 61602
Phone: (309) 497-0300
Fax: (309) 497-0922

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  • Organization
  • Special Hospital
  • CLIA Number: 14D1017135
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-16-2027

About CIWIRC ( CENTRAL ILLINOIS WORK INJURY RESOURCE CENTER )

This page provides the complete NPI Profile along with additional information for Ciwirc ( Central Illinois Work Injury Resource Center ), a provider established in Peoria, Illinois operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1508073347 assigned on May 2007. The practitioner's primary taxonomy code is 284300000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Matthew P Duvendack (President)

NPI
1508073347
Provider Name
CIWIRC ( CENTRAL ILLINOIS WORK INJURY RESOURCE CENTER )
Entity Type
Organization
Location Address
736 SW WASHINGTON ST STE 2A PEORIA, IL 61602
Location Phone
(309) 497-0300
Location Fax
(309) 497-0922
Mailing Address
736 SW WASHINGTON ST STE 2A PEORIA, IL 61602
Mailing Phone
(309) 497-0300
Mailing Fax
(309) 497-0922
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-17-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Special Hospital

Taxonomy Code
284300000X
Type
Hospitals
License State
IL
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MATTHEW P DUVENDACK

Authorized Official Title
PRESIDENT
Authorized Official Phone
(309) 497-0300

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D1017135
Facility Type
Physician Office
Certificate Effective Date
September 17, 2025
Certificate Expiration Date
September 16, 2027
Laboratory Director
ZIAD A. MUSAITIF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ciwirc ( Central Illinois Work Injury Resource Center ) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508073347, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 3 → 6 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 0 + 7 + 6 + 3 + 8 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508073347.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Clinic/Center (Occupational Medicine)
736 SW WASHINGTON ST STE 2A
PEORIA, IL 61602
Nurse Practitioner (Family)
736 SW WASHINGTON ST STE 2A
PEORIA, IL 61602
Nurse Practitioner (Occupational Health)
736 SW WASHINGTON ST STE 2A
PEORIA, IL 61602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508073347, enumerated as an "organization" on May 17, 2007.

The provider is located at 736 SW WASHINGTON ST STE 2A PEORIA, IL 61602 and the phone number is (309) 497-0300.

Special Hospital with taxonomy code 284300000X.