Illinois Correctional Industries

LBN: Illinois Correctional Industries
Illinois Correctional Industries is an health care organization with primary practice located at 2600 N Brinton Ave , Dixon IL 61021-9532. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Illinois Correctional Industries can be contacted via phone (815) 288-3010, or through Underwood, James via phone (217) 522-2666.

Contact Information

Primary practice address
2600 N Brinton Ave Dixon IL 61021-9532
Phone: (815) 288-3010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Underwood, James
Phone: (217) 522-2666

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1780809285
LBN Legal business name Illinois Correctional Industries
DBA Doing business as
Authorized official Underwood, James
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780809285 NPPES
Illinois MEDICAID 100042652001

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