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Mathers Clinic, LLC

NPI #1215194519 in Rockford, Illinois

Provider Information

NPI Number
1215194519
Entity Type
Organization
Organization Name
Mathers Clinic, LLC
Primary Specialty
Psychiatry & Neurology - Child & Adolescent Psychiatry
Enumeration Date
May 22, 2008
Last Updated
May 22, 2008

Practice Location

Address
5804 ELAINE DR
City
Rockford
State
Illinois
ZIP Code
61108-2435
Phone
(815) 397-7654

Authorized Official

Name
DR. RAMESH BABU VEMURI, MD
Title
VICE PRESIDENT
Phone
(815) 397-7654

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry

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