Internal Medicine
CHESTNUT HEALTH OF MISSOURI LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1659195345 · enumerated 2024-11-11 · record updated 2024-11-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. JAI KUMAR, Administrator · (703) 348-6060
Addresses and phones
- Mailing address 1530 N RANDALL RD STE 210, ELGIN, IL, 60123-7879 (703) 348-6060 Fax (703) 649-6188 Google Maps Apple Maps OpenStreetMap
- Practice location 13700 OLD HALLS FERRY RD, BLACK JACK, MO, 63033-4109 (314) 355-0760 Fax (703) 649-6188 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary
In this directory
Locations and evidence
-
Practice location
BLACK JACK, MO, 630334109
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.