CHESTNUT HEALTH SYSTEM, INC (NPI# 1295005445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295005445 |
| Entity Type | Organization |
| Organization Name | CHESTNUT HEALTH SYSTEM, INC |
| Other Organization Name | CHESTNUT HEALTH SYSTEMS, INC |
| Practice Address |
1003 Martin Luther King Dr Bloomington IL 61701-1429 |
| Practice Telephone | 3098276026 |
| Practice Fax Number | 3098203574 |
| Mailing Telephone | 3098276026 |
| Mailing Fax Number | 3098203574 |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2012-12-12 |
| Authorized Official Name | MR. ALAN SENDER (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 3098276026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Chestnut Health Systems, Inc | Doing Business As Name - Organization |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1063489805 | Healthspot | Clinic/Center | 3064 E 3rd St, Bloomington, IN 47401-5425 | 2006-03-01 |
| 1427569367 | Wellness for Life | Clinic/Center | 524 N Fairview St, Bloomington, IN 47404-3774 | 2017-10-18 |
| 1811385925 | Activate Healthcare - Monroe Clinic | Clinic/Center | 119 W 7th St, Bloomington, IN 47404-3926 | 2014-12-26 |
| 1285060947 | Kellie Lyn Dunkin | Clinic/Center | 451 S Park Ridge Rd, Suite 101, Bloomington, IN 47401-8589 | 2013-09-25 |
| 1669752960 | Immanuel Health Center | Clinic/Center | 502 S Morris Ave, Suite A, Bloomington, IL 61701-4884 | 2011-08-18 |
| 1174706816 | Central Illinois Pediatric Associates LLC | Clinic/Center | 2427 Maloney Dr, Bloomington, IL 61704-3750 | 2007-12-17 |
| 1265614242 | Advacare Clinics,ltd | Clinic/Center | 5001 American Blvd W, Ste.945, Bloomington, MN 55437-1108 | 2007-11-30 |
| 1528108941 | Cook Family Health Center | Clinic/Center | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-07 |
| Find all providers in BLOOMINGTON | ||||
| 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.