Organization
CHESTNUT HEALTH SYSTEMS, INC
Active
Parent organization
CHESNTUT HEALTH SYSTEMS, INC.
Other names
Chestnut Health Systems, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHESNTUT HEALTH SYSTEMS, INC.
Authorized official
MEGAN MARIE TAYLOR (MANAGED CARE SUPERVISOR)
(888) 924-3786
Entity
Organization
Contact information
Practice address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(309) 826-6026
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
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
03/08/2018
Last updated
03/16/2023
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