CHESTNUT GLOBAL PARTNERS LLC NPI 1205907763

NPI Information

NPI: 1205907763
Provider Name: CHESTNUT GLOBAL PARTNERS, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 14D0894045

Address:
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 827-6026
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CHESTNUT GLOBAL PARTNERS, LLC is a professional counselor in Bloomington, IL. CHESTNUT GLOBAL PARTNERS, LLC NPI is 1205907763. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL
ZIP 61701-429
Phone: (309) 827-6026
Fax: (309) 820-3574

The provider's authorized official is Dave Sharar .
The authorized official title is Managing Partner and has the following contact phone number (309) 827-6026.

The CLIA number assigned to this NPI record is 14D0894045 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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