| Chestnut Health Systems Inc | |
|
1003 Martin Luther King Dr Bloomington IL 61701-1429 | |
| (309) 827-6026 | |
| (309) 820-3574 |
| Full Name | Chestnut Health Systems Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1003 Martin Luther King Dr, Bloomington, Illinois |
| Authorized Official Name and Position | Megan Marie Taylor (MANAGED CARE SUPERVISOR) |
| Authorized Official Contact | 8889273786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Health Systems Inc 448 Wylie Dr Normal IL 61761-5405 Ph: (888) 924-3786 | Chestnut Health Systems Inc 1003 Martin Luther King Dr Bloomington IL 61701-1429 Ph: (309) 827-6026 |
| NPI Number | 1114351947 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 02/25/2021 |
| Certification Date | 02/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114351947 | NPI | - | NPPES |
| 04023 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 04023 (Illinois) | Primary |
Deborah Olbert Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 903 E Jefferson St, Bloomington, IL 61701 Phone: 309-828-1414 Fax: 309-827-0885 | |
Gateway Foundation, Inc-cmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 N Hershey Rd Ste B, Bloomington, IL 61704 Phone: 877-381-6538 | |
Mclean County Fuse Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Front St Ste 400e, Bloomington, IL 61701 Phone: 309-434-6510 Fax: 309-888-5111 | |
Cynthia M Harbaugh, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Monroe St Ste 305, Bloomington, IL 61701 Phone: 309-862-3620 Fax: 309-322-0535 | |
Lifestance Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 808 S Eldorado Rd Ste 102, Bloomington, IL 61704 Phone: 888-428-7890 | |
Finding Your Path To Freedom Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2310 E Oakland Ave Ste 11b, Bloomington, IL 61701 Phone: 563-505-9529 Fax: 309-402-0579 | |
Hope 4 Tomorrow Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2422 E Washington St, Suite 107, Bloomington, IL 61704 Phone: 309-310-9621 Fax: 309-454-6501 |