| Mathers Clinic | |
|
455 E Main St East Dundee IL 60118-1529 | |
| (847) 428-2273 | |
| (847) 428-3128 |
| Full Name | Mathers Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 455 E Main St, East Dundee, Illinois |
| Authorized Official Name and Position | Ramesh Babu Vemuri (CEO) |
| Authorized Official Contact | 3124048989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathers Clinic 145 S Virginia St Crystal Lake IL 60014-7226 Ph: (815) 444-9999 | Mathers Clinic 455 E Main St East Dundee IL 60118-1529 Ph: (847) 428-2273 |
| NPI Number | 1316237530 |
|---|---|
| Provider Enumeration Date | 04/08/2011 |
| Last Update Date | 03/30/2023 |
| Certification Date | 03/24/2023 |
| Medicare PECOS PAC ID | 7214111582 |
|---|---|
| Medicare Enrollment ID | O20110411000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316237530 | NPI | - | NPPES |
| Provider Name | Barbara E Webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760481774 PECOS PAC ID: 9537143128 Enrollment ID: I20040614000058 |
| Provider Name | Deborah L Kivett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265562094 PECOS PAC ID: 3971563545 Enrollment ID: I20041018000862 |
| Provider Name | Malissa A Watters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285736348 PECOS PAC ID: 7810904810 Enrollment ID: I20060316000220 |
| Provider Name | Kalyani Perumal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1629001805 PECOS PAC ID: 5193720993 Enrollment ID: I20060929000417 |
| Provider Name | Glenn A Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316076946 PECOS PAC ID: 8527151943 Enrollment ID: I20070830000508 |
| Provider Name | Cheryl H Culen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972796266 PECOS PAC ID: 7315020161 Enrollment ID: I20080216000099 |
| Provider Name | Robert L Meyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972502110 PECOS PAC ID: 3072556380 Enrollment ID: I20080311000108 |
| Provider Name | Patricia R Pipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679738348 PECOS PAC ID: 7517025604 Enrollment ID: I20081017000508 |
| Provider Name | Terrence J Neary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477552685 PECOS PAC ID: 8123177243 Enrollment ID: I20090520000476 |
| Provider Name | Raman Inder Popli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013928712 PECOS PAC ID: 9830232529 Enrollment ID: I20100203000357 |
| Provider Name | Carrie A Jura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326357351 PECOS PAC ID: 4082874086 Enrollment ID: I20120329000166 |
| Provider Name | Audrey L Tanksley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750524518 PECOS PAC ID: 8123277431 Enrollment ID: I20121002000288 |
| Provider Name | Regina R Freeman-hodges |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568750065 PECOS PAC ID: 4385883693 Enrollment ID: I20130618000341 |
| Provider Name | Tina M Lakatos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881828804 PECOS PAC ID: 9436372554 Enrollment ID: I20140519000850 |
| Provider Name | Brandi Kristen Boan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780862219 PECOS PAC ID: 9436477338 Enrollment ID: I20150403000837 |
| Provider Name | Stephanie R Armanetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669863437 PECOS PAC ID: 4082935671 Enrollment ID: I20150608002499 |
| Provider Name | Tabitha P Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255796371 PECOS PAC ID: 9335445709 Enrollment ID: I20160310001359 |
| Provider Name | Aleksandra Besterfeldt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770949067 PECOS PAC ID: 3072803063 Enrollment ID: I20160603000174 |
| Provider Name | Thomas P Mccann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750834743 PECOS PAC ID: 9931493541 Enrollment ID: I20160804001075 |
| Provider Name | Nicole Q Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972056109 PECOS PAC ID: 4183990971 Enrollment ID: I20171023002115 |
| Provider Name | Christine Wanyana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356624035 PECOS PAC ID: 3678832656 Enrollment ID: I20180119001530 |
| Provider Name | Lorin Gene Brody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992234306 PECOS PAC ID: 6002178266 Enrollment ID: I20180328000432 |
| Provider Name | Kristin L Fell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770930497 PECOS PAC ID: 5890059174 Enrollment ID: I20180515000412 |
| Provider Name | Alexandra P Warner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992112601 PECOS PAC ID: 1254686439 Enrollment ID: I20180611002423 |
| Provider Name | Todd Lazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639664873 PECOS PAC ID: 3971848961 Enrollment ID: I20181219002198 |
| Provider Name | Anthony Quesada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467924902 PECOS PAC ID: 2860732104 Enrollment ID: I20190322001153 |
| Provider Name | Pooja Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699257105 PECOS PAC ID: 8820330798 Enrollment ID: I20190424001258 |
| Provider Name | Quinette I Iheanyichukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225674914 PECOS PAC ID: 1355771221 Enrollment ID: I20200416000166 |
| Provider Name | Jalinia Logan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316587520 PECOS PAC ID: 7416378708 Enrollment ID: I20200521001513 |
| Provider Name | Tolulope Olaniyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538702022 PECOS PAC ID: 7214354703 Enrollment ID: I20200828001838 |
| Provider Name | Christina E Kassenbrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437781606 PECOS PAC ID: 3274951694 Enrollment ID: I20200917001364 |
| Provider Name | Ashley Gregg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427657634 PECOS PAC ID: 3577976976 Enrollment ID: I20210104000507 |
| Provider Name | Stephanie Onyeforo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942816665 PECOS PAC ID: 7719388503 Enrollment ID: I20210630003370 |
| Provider Name | Gina Gaston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396206827 PECOS PAC ID: 1759783277 Enrollment ID: I20210707000579 |
| Provider Name | Abosede Woody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083265060 PECOS PAC ID: 2668874108 Enrollment ID: I20210707001208 |
| Provider Name | Tabitha Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053909572 PECOS PAC ID: 2264834399 Enrollment ID: I20210713001362 |
| Provider Name | Victoria Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801404678 PECOS PAC ID: 5496157430 Enrollment ID: I20210713002022 |
| Provider Name | Adeluisa R Yranela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124628078 PECOS PAC ID: 1052459484 Enrollment ID: I20210907000746 |
| Provider Name | Devika R Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549393 PECOS PAC ID: 0749527554 Enrollment ID: I20211001002234 |
| Provider Name | Deborah A Ropinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104326149 PECOS PAC ID: 0042600298 Enrollment ID: I20211202002460 |
| Provider Name | Lateef Babatunde Kelani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164028189 PECOS PAC ID: 7810377090 Enrollment ID: I20220706000635 |
| Provider Name | Boski Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255727749 PECOS PAC ID: 4082049614 Enrollment ID: I20220721000147 |
| Provider Name | Chibuzo Ruth Lasisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013661859 PECOS PAC ID: 1658753660 Enrollment ID: I20220806000666 |
| Provider Name | Nora Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285194548 PECOS PAC ID: 7214313709 Enrollment ID: I20221006002502 |
| Provider Name | Kendra Considine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588110 PECOS PAC ID: 8022489889 Enrollment ID: I20230114000149 |
| Provider Name | Steven Wilcox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043766710 PECOS PAC ID: 8921470709 Enrollment ID: I20230203000532 |
| Provider Name | Silifat Jones-ibrahim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235850876 PECOS PAC ID: 9739542838 Enrollment ID: I20230822003408 |
| Provider Name | Mojisola Adedoyin Ayorinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013611987 PECOS PAC ID: 4183079965 Enrollment ID: I20231013002598 |
| Provider Name | Dawn Renee Levitan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013091750 PECOS PAC ID: 6709220007 Enrollment ID: I20240214002867 |
| Provider Name | Marc Genson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437547858 PECOS PAC ID: 8628443660 Enrollment ID: I20240227000443 |
| Provider Name | Kim Nygaard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336394840 PECOS PAC ID: 5890132344 Enrollment ID: I20240320002380 |
| Provider Name | Byeol Shim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003503699 PECOS PAC ID: 9436597283 Enrollment ID: I20240329001763 |