Organization · Type 2 NPI
Mathers Recovery LLC
Addiction Medicine (Psychiatry & Neurology) Physician · Crystal Lake, IL
NPI number
1396456943
Active
Practice location
145 S Virginia St
Crystal Lake, IL 60014-7226
Fax (847) 531-1296
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician Primary | 2084A0401X | None listed |
| Methadone Clinic | 261QM2800X | None listed |
Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
23 other providers at this address
- Mathers Clinic LLCPsychiatry Physician Crystal Lake, IL NPI 1316237530
- Mathers Clinic, LLCCommunity/Behavioral Health Agency Crystal Lake, IL NPI 1447610381
- Mathers Community Mental Health Center LLCMental Health Clinic/Center (Including Community Mental Health Center) Crystal Lake, IL NPI 1659723211
- Aleen Shah, PA-CPhysician Assistant Crystal Lake, IL NPI 1942612668
- Andrew Tait GordinierCounselor Crystal Lake, IL NPI 1366014078
- Angelica Soto, MSN, APRN, PMHNP-CPsychiatric/Mental Health Nurse Practitioner Crystal Lake, IL NPI 1063235505
- Brandi Gries, LCPCMental Health Counselor Crystal Lake, IL NPI 1790216679
- Brizza Celeste Gillette, DNP- PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Crystal Lake, IL NPI 1396672259
- Cynthia Duarte, LCSWClinical Social Worker Crystal Lake, IL NPI 1982251617
- Donna Lynn Derose, APNPsychiatric/Mental Health Nurse Practitioner Crystal Lake, IL NPI 1285168120
- Emily Anne CorsonClinical Social Worker Crystal Lake, IL NPI 1073334058
- Kevin KhamvongsaCommunity/Behavioral Health Agency Crystal Lake, IL NPI 1467907170
About NPI 1396456943
Mathers Recovery LLC's National Provider Identifier is 1396456943, issued on Dec 5, 2022. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Crystal Lake, IL. The record was last updated on Oct 8, 2024.