Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ILLINOIS MENTOR
Active OrganizationILLINOIS MENTOR is a Foster Care Agency organization located in PEORIA, Illinois. NPI 1104154277 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · PEORIA, IL
Registration Details
- NPI Number
- 1104154277
- Provider Type
- Organization
- NPI Issued
- Nov 30, 2009 (16.730118223824 yrs)
- Last Updated
- Dec 3, 2010
Practice Information
- Address
-
4507 N STERLING AVEPEORIA, IL, 616153824Browse IL providers · Browse ZIP 61615
- Phone
- 3096766131
- Fax
- 3096765655
- Primary Specialty
-
Foster Care Agency
253J00000X
- Additional Specialty
- Intellectual Disabilities Residential Treatment Facility
- Additional Specialty
- Foster Care Agency
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.