Organization
CHESTNUT HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MARIE TAYLOR (MANAGED CARE SUPERVIOSR)
(888) 924-3786
Entity
Organization
Contact information
Practice address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
(309) 827-6026
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
A-0126-0010-A
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A-0126-0010-A
—
IL
Enumeration date
10/17/2016
Last updated
03/16/2023
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