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
101 TOWNE CENTRE LN, FOX LAKE, IL 60020-1801
(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
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QM2800X
Methadone Clinic
Primary
—
IL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
IL
Other
Enumeration date
12/19/2016
Last updated
06/28/2023
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