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NPI Profile for MATHERS RECOVERY LLC in CRYSTAL LAKE, IL.
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2084A0401X | 79 | Physician/Addiction Medicine | |
Methadone |
261QM2800X |
| NPI # | 1396456943 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/05/2022 | |
| Last updated | 10/08/2024 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MATHERS RECOVERY LLC