Organization · Type 2 NPI

Chestnut Health Systems, Inc

Federally Qualified Health Center (FQHC) · Granite City, IL

NPI number 1326417080 Active

Practice location

50 Northgate Industrial Dr
Granite City, IL 62040-6805

Fax (618) 512-1920

Mailing address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1326417080

Chestnut Health Systems, Inc's National Provider Identifier is 1326417080, issued on Sep 23, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Granite City, IL. The record was last updated on Mar 16, 2023.