| Chestnut Health Systems Inc | |
|
50 Northgate Industrial Dr Granite City IL 62040 | |
| (618) 877-4420 | |
| (618) 877-0904 |
| Full Name | Chestnut Health Systems Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 50 Northgate Industrial Dr, Granite City, Illinois |
| Authorized Official Name and Position | Megan Marie Taylor (MANAGED CARE SUPERVISOR) |
| Authorized Official Contact | 8889243786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Health Systems Inc 1003 Martin Luther King Dr Bloomington IL 61701-1429 Ph: () - | Chestnut Health Systems Inc 50 Northgate Industrial Dr Granite City IL 62040 Ph: (618) 877-4420 |
| NPI Number | 1609144815 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 03/16/2023 |
| Certification Date | 03/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609144815 | NPI | - | NPPES |
| C/A-0126-0001-A | Medicaid | IL |
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