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Contact Information

MATHERS CLINIC, LLC
5804 ELAINE DR
ROCKFORD, IL61108-2435
 Phone: 815-397-7654
 Fax: 815-397-2712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for MATHERS CLINIC LLC · (Female)

NPI Number 1215194519
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2008
Last updated 05/22/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 36039266
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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