Organization
CHESTNUT HEALTH SYSTEMS INC
Active
Organization
CHESTNUT HEALTH SYSTEMS INC
Active
Other names
Chestnut Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
PUNEET LEEKHA (CHIEF OPERATING OFFICER)
(888) 924-3786
Entity
Organization
Contact information
Practice address
702 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(309) 557-1400
(309) 557-1461
Mailing address
448 WYLIE DR, NORMAL, IL 61761-5405
(888) 924-3786
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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