OrganizationActive
Chestnut Health Systems Inc
NPI 1356596563 · Substance Use Disorder Rehabilitation Clinic/Center · Bloomington, IL
Provider details
- NPI number
- 1356596563
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Melissa Cooper, Managed Care Supervisor
- License
- A-0126-0002-A (IL)
Practice location
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Phone: (309) 827-6026
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Registry dates
- Enumerated
- 2008-12-02
- Last updated
- 2019-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.