OrganizationActive
Chestnut Health Systems, Inc
NPI 1831634237 · Primary Care Clinic/Center · Belleville, IL
Provider details
- NPI number
- 1831634237
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dietra Kulicke, Executive Director of Cfhc(309) 557-1437
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
12 N 64th St
Belleville, IL 62223-3809
Phone: (618) 397-0900
Fax: (618) 397-0093
Approximate (ZIP-level) locationGet directions
Mailing address
1003 Martin Luther King Dr
Bloomington, IL 61701-1429
Registry dates
- Enumerated
- 2016-12-21
- Last updated
- 2017-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.