Illinois Correctional Industries in Dixon - Eyewear Supplier
Illinois Correctional Industries - NPI 1780809285
Illinois Correctional Industries is a Eyewear Supplier in Dixon, Illinois. Illinois Correctional Industries practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Illinois Correctional Industries is 1780809285. The last update date is 2008-07-02.
Illinois Correctional Industries's current location address is 2600 N Brinton Ave, Dixon, Illinois. You can contact this provider via phone number 8152883010. The mailing address for Illinois Correctional Industries is 2600 N Brinton Ave, Dixon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Illinois Correctional Industries |
---|---|
Address | 2600 N Brinton Ave, Dixon, Illinois |
Phone Number | 8152883010 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | CEO |
---|---|
Authorized Official Name | Underwood James |
Telephone Number | 2175222666 |
NPI Number Detail
NPI Number | 1780809285 |
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Provider Enumeration Date | 2007-04-17 |
Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
Address | 2600 N Brinton Ave |
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City | Dixon |
State | Illinois (IL) |
Post Code | 610219532 |
Phone Number | 8152883010 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Eyewear Supplier |
---|---|
Taxonomy | 332H00000X |
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
100042652001 | IL | -- |
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What is the unique 10-digit identifier code assigned to Illinois Correctional Industries by the Centers for Medicare & Medicaid Services?
The Illinois Correctional Industries has been issued the NPI (National Provider Identifier) 1780809285 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Illinois Correctional Industries?
The Illinois Correctional Industries is situated at 2600 N Brinton Ave, in the city of Dixon, state of IL, with the zip code 610219532.
What is Illinois Correctional Industries's specialized field of practice, and what is the corresponding taxonomy classification code?
The Illinois Correctional Industries's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
When did the Illinois Correctional Industries receive its 1780809285?
The Illinois Correctional Industries was issued its 1780809285 on 2007-04-17, which is the date when the organization was assigned this unique identifier.
When was the information regarding Illinois Correctional Industries most recently updated?
The details pertaining to the Illinois Correctional Industries, including its address, specialty, and other relevant information, were last refreshed on 2008-07-02.
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