Organization
CHESTNUT HEALTH SYSTEMS, INC
Active
Organization
CHESTNUT HEALTH SYSTEMS, INC
Active
Other names
Chestnut Family Health Center Granite City
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MARIE TAYLOR (MANGED CARE SUPERVISOR)
(888) 924-3786
Entity
Organization
Contact information
Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 512-1919
(618) 512-1920
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
03/16/2023
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