Illinois Correctional Industries

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

ILLINOIS CORRECTIONAL INDUSTRIES

Practice address

2600 N Brinton Ave
Dixon, IL 61021-9532

Phone

(815) 288-3010

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Underwood

Title

Ceo

Phone

(217) 522-2666

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1780809285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19277",
            "address_2": "1301 CONCORDIA COURT",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N BRINTON AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219532",
            "telephone_number": "815-288-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS CORRECTIONAL INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-522-2666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100042652001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany L Hummel, NP-C
• Jennifer Hurd
• Morgan Hurder
• Kelley Huston
• Martha A. Hutchings, MHP
• Illinois Department of Human Services
• Sierra Nicole Inghram, LCPC
• Tyler Inghram
• Christina Iyer, PMHNP-BC
• Laxman S Iyer, M.D.

• Eyewear Supplier in Dixon, IL
• Providers in Dixon, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.