CHESTNUT HEALTH SYSTEMS INC (NPI# 1700154911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700154911 |
| Entity Type | Organization |
| Organization Name | CHESTNUT HEALTH SYSTEMS INC |
| Practice Address |
12 N 64th St Belleville IL 62223 |
| Mailing Address |
1003 Martin Luther King Dr Bloomington IL 61701 |
| Practice Telephone | 6183970900 |
| Practice Fax Number | 6183970093 |
| Mailing Telephone | 3098203535 |
| Mailing Fax Number | 3098203574 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2018-10-24 |
| Authorized Official Name | MELISSA COOPER (MANAGED CARE SUPERVISOR) |
| Authorized Official Telephone | 3098203535 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
A-0126-0008-A | IL | Residential Treatment Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619921665 | Chestnut Health Systems Inc | Community Based Residential Treatment Facility, Mental Illness | 50 Northgate Industrial Dr, Granite City, IL 62040-6805 | 2006-05-22 |
| 1366431686 | Chestnut Health Systems Inc | Substance Abuse Rehabilitation Facility | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2005-10-19 |
| 1578197877 | Chestnut Health Systems Inc | Clinic/Center | 1419 S Folkers Ave, Peoria, IL 61605-1391 | 2020-02-25 |
| 1114351947 | Chestnut Health Systems Inc | Clinic/Center | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2013-08-28 |
| 1609144815 | Chestnut Health Systems Inc | Clinic/Center | 50 Northgate Industrial Dr, Granite City, IL 62040 | 2011-12-02 |
| 1356596563 | Chestnut Health Systems Inc | Community/Behavioral Health | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2008-12-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Chestnut Health Systems Inc. | 1003 Martin Luther King Dr, Bloomington, Illinois 61701 |
| Street Address |
12 N 64TH ST |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457453615 | Kayla Lynne Anderson | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2006-09-01 |
| 1043846587 | Kelsey Stott | Social Worker | 12 N 64th St, Belleville, IL 62223-3809 | 2020-03-17 |
| 1982252201 | Alondra Anderson | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-08-29 |
| 1699236455 | Monique Marie Stroud | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-03-26 |
| 1194280008 | Melissa Marie Huebner | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-02-05 |
| 1790273795 | Joshua B Theiss | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2018-04-25 |
| 1891203535 | Jessica Elizabeth Biffar | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2018-01-16 |
| 1376058164 | Anna Pereira | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2017-12-04 |
| 1831634237 | Chestnut Health Systems, Inc | Clinic/Center | 12 N 64th St, Belleville, IL 62223-3809 | 2016-12-21 |
| 1427591015 | Brandy Hart | Counselor | 12 N 64th St, Suite 5, Belleville, IL 62223-3809 | 2016-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
| 1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
| 1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
| 1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| 1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
| 1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
| Find all providers in zip 62223 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1811018898 | Pyramid Healthcare | Clinic/Center | 3893 West Main Street, Belleville, PA 17004-9252 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273153 | Navis Health LLC | Clinic/Center | 2602 Rolling Acres Dr, Champaign, IL 61822-7240 | 2020-10-25 |
| 1164036661 | Existential Counselor Societ Ltd. | Clinic/Center | 1225 Richards St, Joliet, IL 60433-2745 | 2020-09-02 |
| 1457964934 | Rosecrance Inc | Clinic/Center | 15 N Galena Ave, Freeport, IL 61032-4348 | 2020-08-25 |
| 1922617133 | Recovery Concepts Urbana, LLC | Clinic/Center | 710 W. Killarney St., Urbana, IL 61801 | 2020-07-24 |
| 1174148167 | Associates In Behavioral Health Care | Clinic/Center | 910 Lake St Ste 102, Roselle, IL 60172-3384 | 2020-06-15 |
| 1538784533 | Associates In Behavioral Health Care | Clinic/Center | 1375 E Schaumburg Rd Ste 120, Schaumburg, IL 60194-3643 | 2020-06-15 |
| 1265056964 | Gateway Foundation, Inc. | Clinic/Center | 3040 Finley Rd, Downers Grove, IL 60515-5713 | 2020-05-29 |
| 1922634021 | Lutheran Social Services of Illinois | Clinic/Center | 400 N Cherry St, Morrison, IL 61270-2605 | 2020-03-20 |
| 1144852260 | Vincent Wallace | Clinic/Center | 226 W Ontario St, Chicago, IL 60654-3619 | 2020-02-06 |
| 1093354037 | A Bridge Back, Inc. | Clinic/Center | 314 Mchenry Rd, Buffalo Grove, IL 60089-2428 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 62223 |
Please comment or provide details below to improve the information on CHESTNUT HEALTH SYSTEMS INC.
| 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.