Organization · Type 2 NPI

Chestnut Health Systems Inc

Mental Health Clinic/Center (Including Community Mental Health Center) · Bloomington, IL

NPI number 1114351947 Active

Practice location

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Fax (309) 820-3574

Mailing address

448 Wylie Dr
Normal, IL 61761-5405

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801X04023 (IL)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1114351947

Chestnut Health Systems Inc's National Provider Identifier is 1114351947, issued on Aug 28, 2013. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Bloomington, IL. The record was last updated on Feb 25, 2021.