Active NPI
Mathers Recovery LLC
- Methadone Clinic
- Elgin, IL
National Provider Identifier
1639614175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- Legal business name
- MATHERS RECOVERY LLC
- Practice address
- 420 Airport Rd Ste C
Elgin, IL 60123-9329 - Phone
- (815) 444-9999
- Fax
- (815) 986-1363
- NPI assigned
- Dec 19, 2016
- Organization subpart
- No
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | IL |
Addresses
Primary practice location
420 Airport Rd Ste C
Elgin, IL 60123-9329
Mailing address
145 S Virginia St
Crystal Lake, IL 60014-7226
Phone (815) 444-9999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Opioid treatment program
- Medicare-enrolled since Jan 7, 2026
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180116002144 | IL | Part B Supplier - Clinic/Group Practice | 2163781378 |
Receives reassigned benefits from 12 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fox Lake, IL; Crystal Lake, IL; Elgin, IL |
| O20200221000011 | IL | Part B Supplier - Opioid Treatment Program (Otp) | 2163781378 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Elgin, IL; Fox Lake, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
420 Airport Rd
Ste C
Elgin, IL 60123
Phone (815) 444-9999
420 Airport Rd
Ste Cd
Elgin, IL 60123
81 E Grand Ave
Fox Lake, IL 60020
Phone (224) 908-3005
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Aurora, IL
- NPI 1013611987
-
- Psychiatric/Mental Health Nurse Practitioner
- Oak Brook, IL
- NPI 1609588110
-
- Psychiatric/Mental Health Nurse Practitioner
- Crystal Lake, IL
- NPI 1467321802
-
- Geriatric Psychiatry Physician
- Champaign, IL
- NPI 1255727749
-
- Psychiatric/Mental Health Nurse Practitioner
- Hoffman Estates, IL
- NPI 1427549393
-
- Family Nurse Practitioner
- Lincolnshire, IL
- NPI 1679738348
-
- Physician Assistant
- Crystal Lake, IL
- NPI 1942612668
-
- Psychiatric/Mental Health Nurse Practitioner
- Elgin, IL
- NPI 1003700907
-
- Mental Health Counselor
- Boulder, CO
- NPI 1992112601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728345600000",
"number": "1639614175",
"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",
"fax_number": "815-986-1363"
},
{
"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",
"fax_number": "815-986-1363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MATHERS RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-19",
"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": "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": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.