Organization
CHESTNUT HEALTH SYSTEMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN RETTICK (CFO)
(309) 827-6026
Entity
Organization
Contact information
Practice address
110 ROTTINGHAM CT, SUITE B, EDWARDSVILLE, IL 62025-3788
(618) 877-4420
Mailing address
1003 MARTIN LUTHER KING DR, BLOOMINGTON, IL 61701-1429
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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