MATHERS RECOVERY LLC NPI 1013555416

NPI Information

NPI: 1013555416
Provider Name: MATHERS RECOVERY LLC
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
101 TOWNE CENTRE LN
FOX LAKE, IL
ZIP 60020
Phone: (815) 444-9999
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MATHERS RECOVERY LLC is a methadone clinic center in Fox Lake, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. MATHERS RECOVERY LLC NPI is 1013555416. 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
Fax: (815) 986-1363

The provider's authorized official is Ramesh Babu Vemuri .
The authorized official title is Md/owner and has the following contact phone number (815) 444-9999.

The enumeration date for this NPI number is 12/16/2019 and was last updated on 12/20/2022.

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	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
3	261QM2800X	Clinic/Center	Methadone	Yes

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: 4/28/2024

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