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Illinois Mentor — NPI 1598093767, Marion, IL | NPI Central

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NPI 1598093767

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Illinois Mentor

NPI 1598093767 · Foster Care Agency · Marion, IL

Provider details

NPI number: 1598093767
Entity type: Organization
Primary specialty: Foster Care AgencyAgencies
Parent organization: Illinois Mentor
Authorized official: Viviane Ngwa, Executive Director

Practice location

4503 W Deyoung St

Suite 203c

Marion, IL 62959-7654

Phone: (618) 997-9470

Fax: (618) 997-9478

More IL providers

Mailing address

4503 W Deyoung St

Marion, IL 62959-7654

Registry dates

Enumerated: 2009-11-30
Last updated: 2009-11-30

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.