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 1396954467

Illinois Mentor is a Case Management Agency in Matteson, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3

Practice location Address checks out

600 Holiday Plaza Dr Ste 400
Matteson, IL 60443-2241
Phone: (708) 679-9137
Fax: (708) 503-6267
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 (IL)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X (IL)

Record details

NPI number1396954467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Viviane Ngwa — Executive Director · (708) 679-9137
NPI enumeratedMay 22, 2007
Last updated in NPPESJuly 21, 2022
Mailing address600 Holiday Plaza Dr, Suite 400, Matteson, IL 60443-2241

Other providers in Matteson