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

Illinois Mentor

Organization Case Management Agency · NPI 1396073565

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

In the registry since
2009
Specialties on file
3

Practice location Address checks out

6701 Clinton Rd
Loves Park, IL 61111-3863
Phone: (815) 282-6153
Fax: (815) 282-7160
Show map & directions

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 number1396073565
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIllinois Mentor
Authorized official Viviane Ngwa — Executive Director · (708) 679-9137
Other names Rockford Site 014025
NPI enumeratedNovember 30, 2009
Last updated in NPPESNovember 30, 2009
Mailing address6701 Clinton Rd, Loves Park, IL 61111-3863

Other providers in Loves Park