CHESTNUT HEALTH SYSTEMS NPI 1609021997

NPI Information

NPI: 1609021997
Provider Name: CHESTNUT HEALTH SYSTEMS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1003 MARTIN LUTHER KING DR
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 827-6026
Get Directions

CHESTNUT HEALTH SYSTEMS is a substance abuse rehabilitation facility in Bloomington, IL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CHESTNUT HEALTH SYSTEMS NPI is 1609021997. The provider is registered as an organization entity type.

The provider's business location address is:

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

The provider's authorized official is Megan Marie Taylor .
The authorized official title is Managed Care Supervisor and has the following contact phone number (888) 924-3786.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 3/16/2023.

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	324500000X	Substance Abuse Rehabilitation Facility		A-0126-0004-A	ILLINOIS	No
2	324500000X	Substance Abuse Rehabilitation Facility				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A-0126-0014-A	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »