OrganizationActive
Chester Clinic Professional Corp.
NPI 1104144187 · Clinic/Center · Steeleville, IL
Provider details
- NPI number
- 1104144187
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Chester Clinic Professional Corp.
- Organization subpart
- Yes
- Authorized official
- Donna Martin, Practice Administrator(618) 965-3382
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Rural Health Clinic/Center261QR1300X
Ambulatory Health Care Facilities
Practice location
602 W Shawneetown Trl
Steeleville, IL 62288-1126
Phone: (618) 965-3382
Approximate (ZIP-level) locationGet directions
Mailing address
602 W Shawneetown Trl
Steeleville, IL 62288-1126
Other names (DBA / former)
- Doing business as
- Steeleville Family Practice
Registry dates
- Enumerated
- 2010-05-14
- Last updated
- 2010-07-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.