Chestnut Health Systems

Organization Active NPI Substance Abuse Rehabilitation Facility · Bloomington, IL

NPI 1609021997 · NPPES record last updated Mar 16, 2023

Key facts

NPI
1609021997
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
CHESTNUT HEALTH SYSTEMS
Practice address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone
(309) 827-6026
NPI assigned
Dec 1, 2008
Organization subpart
No

Authorized official

Name
Megan Marie Taylor
Title
Managed Care Supervisor
Phone
(888) 924-3786

Corporate family (same tax ID) 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

National Provider Directory

Tax ID family
Chestnut Health Systems Inc (44 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X A-0126-0004-A IL
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Mailing address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Other identifiers

IdentifierTypeStateIssuer
A-0126-0014-AMedicaidIL

Other providers in Bloomington, IL

All providers in Bloomington, IL · Substance Abuse Rehabilitation Facility in Illinois

Sources for this page

Verify at the official NPI Registry.