Organization · Type 2 NPI
Chestnut Health Systems, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) · Madison, IL
NPI number
1902184054
Active
Practice location
648 State St Bldg A
Madison, IL 62060-1420
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...
Other mental health clinic/center (including community mental health center) providers in Madison
About NPI 1902184054
Chestnut Health Systems, Inc.'s National Provider Identifier is 1902184054, issued on Jul 22, 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.