OrganizationActive
Mathers Recovery LLC
NPI 1013555416 · Methadone Clinic · Fox Lake, IL
Provider details
- NPI number
- 1013555416
- Entity type
- Organization
- Primary specialty
- Methadone ClinicAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Srihari Vemuri, Cfo(815) 444-9999
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Practice location
101 Towne Centre Ln
Fox Lake, IL 60020-1801
Phone: (815) 444-9999
Fax: (815) 986-1363
Approximate (ZIP-level) locationGet directions
Mailing address
101 Towne Centre Ln
Fox Lake, IL 60020-1801
Registry dates
- Enumerated
- 2019-12-16
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.