MATHERS RECOVERY LLC NPI 1437719846

NPI Information

  • NPI: 1437719846
  • Provider Name: MATHERS RECOVERY LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 14D2171157
  • Address: 101 TOWNE CENTRE LN
    FOX LAKE, IL
    ZIP 60020
  • Phone: (815) 444-9999

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NPI Details

MATHERS RECOVERY LLC is a rehabilitation and substance use disorder clinic center in Fox Lake, IL. MATHERS RECOVERY LLC NPI is 1437719846. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

101 TOWNE CENTRE LN
FOX LAKE, IL
ZIP 60020-801
Phone: (815) 444-9999

The provider's authorized official is Srihari Vemuri .
The authorized official title is Cfo and has the following contact phone number (815) 444-9999.

The CLIA number assigned to this NPI record is 14D2171157 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2019 and was last updated on 10/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
2261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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