Mathers Recovery LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

MATHERS RECOVERY LLC

Practice address

101 Towne Centre LN
Fox Lake, IL 60020-1801

Phone

(815) 444-9999

Fax

(815) 986-1363

NPI assigned

Dec 16, 2019

Last updated

Oct 8, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Srihari Vemuri

Title

Cfo

Phone

(815) 444-9999

Specialties & licenses 3

Addresses

Tax ID family

Mathers Recovery LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Mathers Recovery LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Elgin, IL
  • NPI 1083252480
  NPD tax ID
• Mathers Recovery LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Crystal Lake, IL
  • NPI 1396456943
  NPD tax ID
• Mathers Recovery LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fox Lake, IL
  • NPI 1437719846
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1013555416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TOWNE CENTRE LN",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201801",
            "telephone_number": "815-444-9999",
            "fax_number": "815-986-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWNE CENTRE LN",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201801",
            "telephone_number": "815-444-9999",
            "fax_number": "815-986-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATHERS RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "VEMURI",
        "authorized_official_first_name": "SRIHARI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "815-444-9999"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Lewinson, O.D.
• Kathlyn Long, CADC
• Nadejda Losseva
• Lynn M. Maloney, DPT
• Marengo Physical Therapy, Inc. (CORA Physical Therapy - Fox Lake)
• Mathers Recovery LLC
• Mathers Recovery LLC
• Jaye Nelson
• Northern Illinois Foot & Ankle Specialists, LTD (Northern Illinois Foot & Ankle Specialist)
• Northwestern Lake Counseling

• Methadone Clinic in Fox Lake, IL
• Providers in Fox Lake, IL by specialty
• Methadone Clinic in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.