| Mathers Recovery Llc | |
|
145 S Virginia St Crystal Lake IL 60014-7226 | |
| (815) 444-9999 | |
| (847) 531-1296 |
| Full Name | Mathers Recovery Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 145 S Virginia St, Crystal Lake, Illinois |
| Authorized Official Name and Position | Srihari Vemuri (CFO) |
| Authorized Official Contact | 8154449999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathers Recovery Llc 145 S Virginia St Crystal Lake IL 60014-7226 Ph: (815) 444-9999 | Mathers Recovery Llc 145 S Virginia St Crystal Lake IL 60014-7226 Ph: (815) 444-9999 |
| NPI Number | 1396456943 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396456943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Secondary |
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