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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 Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Methadone

261QM2800X
Indicates primary specialty

NPI Profile & details for MATHERS RECOVERY LLC

NPI Number 1396456943
LBN Legal business name MATHERS RECOVERY LLC
Authorized official SRIHARI VEMURI - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2022
Last updated 10/08/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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