Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Illinois Mentor

Organization Case Management Agency · NPI 1104154277

Illinois Mentor is a Case Management Agency in Peoria, Illinois. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
3
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Practice location Address checks out

4507 N Sterling Ave
Peoria, IL 61615-3824
Phone: (309) 676-6131
Fax: (309) 676-5655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foster Care Agency (primary) Taxonomy 253J00000X
Case Management Agency Taxonomy 251B00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X

Record details

NPI number1104154277
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIllinois Mentor
Authorized official Viviane Ngwa — Executive Director · (708) 679-9137
Other names Peoria Site 014030
NPI enumeratedNovember 30, 2009
Last updated in NPPESDecember 3, 2010
Mailing address4507 N Sterling Ave, Peoria, IL 61615-3824

Other providers in Peoria