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Organization

CHESNTUT HEALTH SYSTEMS, INC.

Active
Other names
Chestnut Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MEGAN M TAYLOR (REVENUE CREDENTIALING SPECIALIST)
(618) 512-1803
Entity
Organization

Contact information

Practice address
720 W CHESTNUT ST, BLOOMINGTON, IL 61701-2814
(888) 924-3786
Mailing address
448 WYLIE DR, NORMAL, IL 61761-5405
(888) 924-3786

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
12/20/2023
Last updated
12/20/2023
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