CENTRAL ILLINOIS FRIENDS OF PWA, INC.; NPI #1922945542

Contact Information

CENTRAL ILLINOIS FRIENDS OF PWA, INC.

2112 E WAR MEMORIAL DR
PEORIA, IL 61614-8002

Phone: 309-431-5880
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Community Health	363LC1500X	50	Nurse Practitioner
Clinical	103TC0700X	62	Psychologist, Clinical
Community Health	261QC1500X
Mental Health	101YM0800X

Indicates primary specialty

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NPI Profile & details for CENTRAL ILLINOIS FRIENDS OF PWA, INC.

NPI #	`1922945542`
LBN Legal business name	CENTRAL ILLINOIS FRIENDS OF PWA, INC.
Authorized official	DERIC KIMLER - (EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/01/2026
Last updated	05/01/2026 - About a month ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CENTRAL ILLINOIS FRIENDS OF PWA, INC.

Contact Information

Specialty

Community Health

Clinical

Community Health

Mental Health

NPI Profile & details for CENTRAL ILLINOIS FRIENDS OF PWA, INC.

Reviews for CENTRAL ILLINOIS FRIENDS OF PWA, INC.