Organization
CHESTNUT HEALTH SYSTEMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MARIE TAYLOR (MANAGED CARE SUPERVISOR)
(888) 927-3786
Entity
Organization
Contact information
Practice address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(309) 827-6026
(309) 820-3574
Mailing address
448 WYLIE DR, NORMAL, IL 61761-5405
(888) 924-3786
(309) 820-3574
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
04023
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023
—
IL
Enumeration date
08/28/2013
Last updated
02/25/2021
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