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 MARION, Illinois. NPI 1598093767 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · MARION, IL
Registration Details
- NPI Number
- 1598093767
- Provider Type
- Organization
- NPI Issued
- Nov 30, 2009 (16.729903895168 yrs)
- Last Updated
- Nov 30, 2009
Practice Information
- Address
-
4503 W DEYOUNG STSUITE 203CMARION, IL, 629597654Browse IL providers · Browse ZIP 62959
- Phone
- 6189979470
- Fax
- 6189979478
- 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.