Organization · Type 2 NPI

Chestnut Health Systems, Inc

Federally Qualified Health Center (FQHC) · Bloomington, IL

NPI number 1790055952 Active

Practice location

702 W Chestnut St
Bloomington, IL 61701-2814

Fax (309) 557-1461

Mailing address

1003 Martin Luther King Dr
Bloomington, IL 61701-1429

Other practice locations

  • 720 W Chestnut St, Bloomington, IL 61701-2814 · (309) 557-1400

Specialties and licenses

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

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

37 other providers at this address

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About NPI 1790055952

Chestnut Health Systems, Inc's National Provider Identifier is 1790055952, issued on Jan 5, 2012. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bloomington, IL. The record was last updated on Mar 16, 2023.