Chestnut Health Systems
Substance Abuse Rehabilitation Facility in Bloomington, IL. Organization (NPI-2).
NPI number1609021997
StatusActive
Last updated in NPPESMar 16, 2023
Details
- NPI
- 1609021997
- Entity type
- Organization (NPI-2)
- Legal business name
- Chestnut Health Systems
- Organization subpart
- No
- Enumeration date
- Dec 1, 2008
- Certification date
- Mar 16, 2023
- Last updated
- Mar 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | A-0126-0004-A | IL |
Practice location
1003 Martin Luther King DrBloomington, IL 61701-1429
Phone 309-827-6026
Mailing address
1003 Martin Luther King DrBloomington, IL 61701-1429
Authorized official
Megan Marie Taylor
Managed Care Supervisor
8889243786
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