Organization
CHESTNUT HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYCHELE KENNEY (DIRECTOR OF YOUTH SERVICES)
(309) 827-6026
Entity
Organization
Contact information
Practice address
212 PEARL ST, KAPPA, IL 61738-1855
(309) 261-6766
Mailing address
212 PEARL ST, KAPPA, IL 61738-1855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
32510
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32510
CADC
IL
Enumeration date
02/08/2016
Last updated
02/08/2016
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