CHESTNUT HEALTH SYSTEMS INC. (NPI# 1285179655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285179655 |
| Entity Type | Organization |
| Organization Name | CHESTNUT HEALTH SYSTEMS INC. |
| Practice Address |
1003 Martin Luther King Dr Bloomington IL 61701-1429 |
| Practice Telephone | 3098203535 |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2020-05-12 |
| Authorized Official Name | MEGAN MARIE TAYLOR (MANAGED CARE SUPERVISOR) |
| Authorized Official Telephone | 8889243786 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Chestnut Health Systems Inc. | 1003 Martin Luther King Dr, Bloomington, Illinois 61701 |
| Street Address |
1003 MARTIN LUTHER KING DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431686 | Chestnut Health Systems Inc | Substance Abuse Rehabilitation Facility | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2005-10-19 |
| 1740889252 | Shelby Lynn Harvey | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-10-26 |
| 1821619545 | Matthew William Porzel | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-05-05 |
| 1669092482 | Angie Marie Lessen | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-04-22 |
| 1659905560 | Kristen Satchwell | Social Worker | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-02-29 |
| 1952941676 | John Lorio | Social Worker | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-01-10 |
| 1437792835 | Sehar Reshamwala | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2019-10-18 |
| 1760974737 | Brittany Cline | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-06-05 |
| 1740770742 | Jason Daniel Reel-haas | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-05-15 |
| 1831692078 | Lisa Kelly Jones | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093226243 | Community Health Systems, Inc. | Clinic/Center | 18651 Valley Blvd Unit A, Bloomington, CA 92316-1831 | 2017-10-16 |
| 1952308009 | Community Health Systems, Inc. | Clinic/Center | 18601 Valley Blvd, Bloomington, CA 92316-1831 | 2005-07-05 |
| 1790055952 | Chestnut Health Systems, Inc | Clinic/Center | 702 W Chestnut St, Bloomington, IL 61701-2814 | 2012-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.