Organization
MATHERS RECOVERY LLC
Active
Organization
MATHERS RECOVERY LLC
Active
Parent organization
MATHERS RECOVERY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MATHERS RECOVERY LLC
Authorized official
SRIHARI VEMURI (CFO)
(815) 444-9999
Entity
Organization
Contact information
Practice address
101 TOWNE CENTRE LN, FOX LAKE, IL 60020-1801
(815) 444-9999
Mailing address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
(815) 986-1363
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
10/08/2024
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