| Chesntut Health Systems, Inc. | |
|
702 W Chestnut St Bloomington IL 61701-2814 | |
| (309) 557-1400 | |
| Not Available |
| Full Name | Chesntut Health Systems, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 702 W Chestnut St, Bloomington, Illinois |
| Authorized Official Name and Position | Megan M Taylor (REVENUE CYCLE CREDENTIALING SPECIAL) |
| Authorized Official Contact | 6188774420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chesntut Health Systems, Inc. 1003 Martin Luther King Dr Bloomington IL 61701-1429 Ph: (618) 512-1803 | Chesntut Health Systems, Inc. 702 W Chestnut St Bloomington IL 61701-2814 Ph: (309) 557-1400 |
| NPI Number | 1578246047 |
|---|---|
| Provider Enumeration Date | 08/10/2023 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578246047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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