Organization · Type 2 NPI
Chestnut Health Systems, Inc
Mental Health Clinic/Center (Including Community Mental Health Center) · Madison, IL
NPI number
1790083095
Active
Practice location
1425 6th St
Madison, IL 62060-1417
Fax (618) 877-9526
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Madison
About NPI 1790083095
Chestnut Health Systems, Inc's National Provider Identifier is 1790083095, issued on Mar 10, 2011. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Madison, IL. The record was last updated on Mar 16, 2023.