ILLINOIS MENTOR INC. NPI 1518532852

NPI Information

  • NPI: 1518532852
  • Provider Name: ILLINOIS MENTOR, INC.
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Organization
  • Address: 18440 THOMPSON CT STE 104
    TINLEY PARK, IL
    ZIP 60477
  • Phone: (815) 464-3239

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NPI Details

ILLINOIS MENTOR, INC. is a developmental disabilities clinic center in Tinley Park, IL. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). ILLINOIS MENTOR, INC. NPI is 1518532852. The provider is registered as an organization entity type.

The provider's business location address is:

18440 THOMPSON CT STE 104
TINLEY PARK, IL
ZIP 60477-427
Phone: (815) 464-3239

The provider's authorized official is Lori Rebecca Wright .
The authorized official title is Executive Director and has the following contact phone number (715) 536-4023.

The enumeration date for this NPI number is 5/20/2021 and was last updated on 5/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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