Organization
MATHERS RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRIHARI VEMURI (CFO)
(815) 444-9999
Entity
Organization
Contact information
Practice address
420 AIRPORT RD STE C, ELGIN, IL 60123-9329
(815) 444-9999
(815) 986-1363
Mailing address
145 S VIRGINIA ST, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
(815) 986-1363
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
IL
Other
Enumeration date
12/19/2016
Last updated
10/08/2024
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