| Mathers Recovery Llc | |
|
101 Towne Centre Ln Fox Lake IL 60020-1801 | |
| (815) 444-9999 | |
| (815) 986-1363 |
| Full Name | Mathers Recovery Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Towne Centre Ln, Fox Lake, Illinois |
| Authorized Official Name and Position | Srihari Vemuri (CFO) |
| Authorized Official Contact | 8154449999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathers Recovery Llc 145 S Virginia St Crystal Lake IL 60014-7226 Ph: (815) 444-9999 | Mathers Recovery Llc 101 Towne Centre Ln Fox Lake IL 60020-1801 Ph: (815) 444-9999 |
| NPI Number | 1922543461 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 2163781378 |
|---|---|
| Medicare Enrollment ID | O20180116002144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922543461 | NPI | - | NPPES |
| Provider Name | Preeti Vemuri |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1548318488 PECOS PAC ID: 3476528951 Enrollment ID: I20040827001226 |
| Provider Name | Ramesh Vemuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164508149 PECOS PAC ID: 9133148059 Enrollment ID: I20060317000078 |
| Provider Name | Patricia R Pipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679738348 PECOS PAC ID: 7517025604 Enrollment ID: I20081017000508 |
| Provider Name | Audrey L Tanksley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750524518 PECOS PAC ID: 8123277431 Enrollment ID: I20121002000288 |
| Provider Name | Lorin Gene Brody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992234306 PECOS PAC ID: 6002178266 Enrollment ID: I20180328000432 |
| Provider Name | Kristin L Fell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770930497 PECOS PAC ID: 5890059174 Enrollment ID: I20180515000412 |
| Provider Name | Devika R Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427549393 PECOS PAC ID: 0749527554 Enrollment ID: I20211001002234 |
| Provider Name | Boski Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255727749 PECOS PAC ID: 4082049614 Enrollment ID: I20220721000147 |
| Provider Name | Kendra Considine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609588110 PECOS PAC ID: 8022489889 Enrollment ID: I20230114000149 |
| Provider Name | Mojisola Adedoyin Ayorinde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013611987 PECOS PAC ID: 4183079965 Enrollment ID: I20231013002598 |
Mathers Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Towne Centre Ln, Fox Lake, IL 60020 Phone: 815-444-9999 Fax: 815-986-1363 | |
Bailey Behavioral Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-322-2975 | |
Sheffer Psychological Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 W Grand Ave Ste 101, Fox Lake, IL 60020 Phone: 847-376-0125 Fax: 847-376-0125 | |
Western Lake Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 W Grand Ave, Fox Lake, IL 60020 Phone: 847-587-9700 Fax: 847-587-8584 |