Impact Cil

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

IMPACT CIL

Practice address

2735 E Broadway
Alton, IL 62002-1859

Phone

(618) 474-5314

Fax

(618) 474-5309

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Cathy Contarino

Title

Executive Director

Phone

(618) 462-1411

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1760809313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 E BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620021859",
            "telephone_number": "618-474-5314",
            "fax_number": "618-474-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 E BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620021859",
            "telephone_number": "618-474-5314",
            "fax_number": "618-474-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "CONTARINO",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-462-1411"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandrarae Venita Hyatt, BS. MA
• Illinois Department of Human Services (Alton Mental Health Center)
• Illinois Department of Human Services (Alton Mental Health Center - Locust Unit)
• Illinois Institute of Neurology LTD
• Imaging Center of Alton, LLC
• Instaclinic of Illinois, LLC
• Intensivo LLC
• Internal Medicine Specialists LTD
• Interventional Pain Consultants LLC
• John Iskander

• Voluntary or Charitable Agency in Alton, IL
• Providers in Alton, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.