Organization
CHESTNUT HEALTH SYSTEMS INC.
Active
Other names
Chestnut Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MARIE TAYLOR (MANAGED CARE SUPERVISOR)
(888) 924-3786
Entity
Organization
Contact information
Practice address
12 N 64TH ST, BELLEVILLE, IL 62223-3809
(618) 877-4420
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
12/14/2022
Last updated
03/16/2023
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