ILLINOIS MENTOR – Foster Care Agency, NPI 1396954467

ILLINOIS MENTOR is a healthcare provider. based in Matteson, Illinois. specializing in Foster Care Agency. The organization holds a License No. ========= (IL). The NPI Number for ILLINOIS MENTOR is 1396954467

Main info

Organization
Name
ILLINOIS MENTOR
NPI
1396954467
Phone
(708) 679-9137
Address
600 HOLIDAY PLAZA DR
Authorized Official
MRS. VIVIANE NGWA EXECUTIVE DIRECTOR MSW
Enumeration Date
22 May 2007
Last Update Date
21 July 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ILLINOIS MENTOR

  • 600, Holiday Plaza Drive, Matteson, Rich Township, Cook County, Illinois, 60443, United States

    SUITE 400

    MATTESON, IL 604432241

    Phone: (708) 679-9137

    Fax: (708) 503-6267

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60443)

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Reviews

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Frequently asked questions

What is ILLINOIS MENTOR's NPI number?
ILLINOIS MENTOR's NPI is 1396954467 — the number used across U.S. healthcare to identify this provider.
Is ILLINOIS MENTOR shown as active in public data?
Registry records indicate ILLINOIS MENTOR maintains an active NPI.
What kind of doctor is ILLINOIS MENTOR?
ILLINOIS MENTOR is associated with Foster Care Agency in the directory — Clinical services aligned with this taxonomy classification.
Is ILLINOIS MENTOR located near Matteson?
ILLINOIS MENTOR currently maps to Matteson, Illinois in this extract.
Can I trust this NPI listing for ILLINOIS MENTOR?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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