OrganizationActive
Illinois Mentor
NPI 1124457825 · Foster Care Agency · Rockford, IL
Provider details
- NPI number
- 1124457825
- Entity type
- Organization
- Primary specialty
- Foster Care AgencyAgencies
- Authorized official
- Sara Spencer, Executive Director
Mailing address
600 Holiday Plaza Dr
Matteson, IL 60443-2241
Registry dates
- Enumerated
- 2013-11-04
- Last updated
- 2013-11-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.