# MATHERS RECOVERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396456943
- **Authorized official:** SRIHARI VEMURI (CFO)
- **Authorized official phone:** (815) 444-9999

## Contact information

- **Practice address:** 145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
- **Practice address phone:** (815) 444-9999
- **Practice address fax:** (847) 531-1296
- **Mailing address:** 145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
- **Mailing address phone:** (815) 444-9999
- **Mailing address fax:** (847) 531-1296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 261QM2800X | Methadone Clinic | — | NULL | — |

## Other

- **Enumeration date:** 12/05/2022
- **Last updated:** 10/08/2024