National Provider Identifier Database

MATHERS RECOVERY LLC
Addiction Medicine

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


Contact Information

MATHERS RECOVERY LLC
145 S VIRGINIA ST
CRYSTAL LAKE, IL60014-7226
Phone: 815-444-9999
Fax: 847-531-1296
Website:
Specialty Taxonomy Code
* Addiction Medicine 2084A0401X
Methadone 261QM2800X

* Indicates primary specialty

NPI Profile & details for MATHERS RECOVERY LLC

NPI Number 1396456943
Legal business name
LBN
MATHERS RECOVERY LLC
Authorized official SRIHARI VEMURI - (CFO)
Entity Organization
Organization subpart No
Enumeration date 12/05/2022
Last updated 10/08/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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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