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Organization
ILLINOIS MENTOR, INC.
Active
Organization
ILLINOIS MENTOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI REBECCA WRIGHT (EXECUTIVE DIRECTOR)
(715) 536-4023
Entity
Organization
Contact information
Practice address
18440 THOMPSON CT STE 104, TINLEY PARK, IL 60477-5427
(815) 464-3239
Mailing address
18440 THOMPSON CT STE 104, TINLEY PARK, IL 60477-5427
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/20/2021
Last updated
05/20/2021
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