Mathers Recovery LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

MATHERS RECOVERY LLC

Practice address

420 Airport Rd Ste C
Elgin, IL 60123-9329

Phone

(815) 444-9999

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 1

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

  • Methadone Clinic
  • Fox Lake, IL
  • NPI 1013555416
  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": "1083252480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S VIRGINIA ST",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147226",
            "telephone_number": "815-444-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 AIRPORT RD STE C",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239329",
            "telephone_number": "815-444-9999"
        }
    ],
    "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": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doan Nguyen Masulis, PHARMD
• Azmey Awad Matarieh, M.D.
• Maternal Fetal Consultants, SC
• Mathers Clinic, LLC
• Mathers Community Mental Health Center LLC
• Mathers Recovery LLC
• Jenny Mathew, NP
• Manapurathu Mathew, MD
• Mark Timothy Matovu
• Alan Howard Matson, M. D.

• Addiction Medicine (Psychiatry & Neurology) Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician 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.