NPI 1003194150
Chestnut Health Systems, INC.
Practice location
- Address
- 3924 Oakmont Dr, Pontoon Beach, IL 62040-4395
- Phone
- (618) 797-2098
- Mailing address
- 1003 Martin Luther King Dr, Bloomington, IL 61701-1429
Authorised official
- Name
- Megan Marie Taylor
- Title
- Managed Care Supervisor
- Phone
- (888) 924-3786
Registered specialties
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
Registry record
- NPI
- 1003194150
- Entity type
- Organization
- NPI issued
- 22 Jul 2011
- Record last updated
- 16 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.