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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

NPI Number 1215194519
LBN Legal business name MATHERS CLINIC, LLC
Authorized official RAMESH VEMURI - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2008
Last updated 05/22/2008 - About 18 years ago
Identifiers
IL License # 36039266
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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