| Chestnut Health Systems Inc. | |
|
337 E Ferguson Ave Wood River IL 62095-2003 | |
| (618) 877-4420 | |
| Not Available |
| Full Name | Chestnut Health Systems Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 337 E Ferguson Ave, Wood River, Illinois |
| Authorized Official Name and Position | Megan M Taylor (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6188774420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Health Systems Inc. 1003 Martin Luther King Dr Bloomington IL 61701-1429 Ph: (888) 924-3786 | Chestnut Health Systems Inc. 337 E Ferguson Ave Wood River IL 62095-2003 Ph: (618) 877-4420 |
| NPI Number | 1235941311 |
|---|---|
| Provider Enumeration Date | 01/24/2025 |
| Last Update Date | 01/24/2025 |
| Certification Date | 01/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235941311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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