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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