SearchIllinoisCommunity/Behavioral Health Agency

Kevin Khamvongsa

NPI 1467907170 · on the registry since 2016 · sole proprietor

Practice

Address
145 S Virginia St
Crystal Lake, IL 60014
Phone
(815) 444-9999
Organisation at this address
Mathers Clinic Llc
Mathers Clinic, Llc
Mathers Recovery Llc
Dr Raman Popli And Associates
Mathers Community Mental Health Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Registry record

Primary taxonomy
Community/Behavioral Health Agency
251S00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois