NPIMap

Organization Active NPI

Mathers Recovery LLC

  • Methadone Clinic
  • Fox Lake, IL
National Provider Identifier
1922543461
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
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 19, 2016
Last updated
Jun 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X IL Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X IL
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X

Addresses

Primary practice location

101 Towne Centre LN
Fox Lake, IL 60020-1801

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 IL2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 7, 2026

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180116002144 IL Part B Supplier - Clinic/Group Practice 2163781378 Receives reassigned benefits from 12 practitioners
1 other NPI on this 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
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 Directory

Locations

101 Towne Centre Ln
Fox Lake, IL 60020
Phone (815) 444-9999

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1687910400000",
    "number": "1922543461",
    "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": "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": "2016-12-19",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "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": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fox Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.

Verify at the official NPI Registry.