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Contact Information

MATHERS CLINIC LLC
145 S VIRGINIA ST
CRYSTAL LAKE, IL60014-7226
 Phone: 815-444-9999
 Fax: 815-356-6680
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Counselor

101Y00000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MATHERS CLINIC LLC

NPI Number 1316237530
LBN Legal business name MATHERS CLINIC LLC
Authorized official ROBERT MEYER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/08/2011
Last updated 09/26/2025 - About 8 months 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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