Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chestnut Health of Missouri LLC

Organization Internal Medicine Physician · NPI 1659195345

Chestnut Health of Missouri LLC is an Internal Medicine Physician in Black Jack, Missouri. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13700 Old Halls Ferry Rd
Black Jack, MO 63033-4109
Phone: (314) 355-0760
Fax: (703) 649-6188
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1659195345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jai Kumar — Administrator · (703) 348-6060
NPI enumeratedNovember 11, 2024
Last updated in NPPESNovember 11, 2024
Certification dateNovember 11, 2024
Mailing address1530 N Randall Rd Ste 210, Elgin, IL 60123-7879

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