Illinois Valley Industries, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ILLINOIS VALLEY INDUSTRIES, INC.

Practice address

1033 3Rd Ave
Morris, IL 60450-1966

Phone

(815) 942-6133

Fax

(815) 942-5169

NPI assigned

Sep 2, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kandis Cassetto

Title

Executive Director

Phone

(815) 942-6133

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1265800643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 3RD AVE",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501966",
            "telephone_number": "815-942-6133",
            "fax_number": "815-942-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 3RD AVE",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604501966",
            "telephone_number": "815-942-6133",
            "fax_number": "815-942-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS VALLEY INDUSTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "CASSETTO",
        "authorized_official_first_name": "KANDIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "815-942-6133"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Afreen Anjum Hyder, MD
• Iatros, M.D.,S.C.
• Anne C. Ibarra, LCSW
• Nesreen Ibrahim, DMD
• Katia V Ilieva, M.D.
• Innerflow Counseling
• Institute for Personal Development
• Michael T Jachec, M.D.
• Christopher Paul Jackson, MS ATC
• Morgan Taylor Jackson, APRN

• Developmentally Disabled Services Day Training Agency in Morris, IL
• Providers in Morris, IL by specialty
• Developmentally Disabled Services Day Training Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.