Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Community Health |
261QC1500X | |||
Family Planning, Non-Surgical |
261QF0050X | |||
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI Number | 1932058963 |
| LBN Legal business name | CENTRAL ILLINOIS FRIENDS OF PWA, INC. |
| Authorized official | DERIC KIMLER - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/23/2026 |
| Last updated | 05/08/2026 - About a month ago |
| Identifiers | n/a |
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