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CENTRAL ILLINOIS FRIENDS OF PWA, INC.
NPI 1922945542
Nurse Practitioner - Community Health in Peoria, IL

Active since May 01, 2026
2112 E WAR MEMORIAL DR, PEORIA, IL 61614(309) 431-5880 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Central Illinois Friends Of Pwa, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL ILLINOIS FRIENDS OF PWA, INC. (NPI 1922945542) is a healthcare organization registered as a community health in Peoria, Illinois and active in the NPI registry since May 2026. The organization lists Deric Kimler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1922945542
Entity TypeOrganization
Primary Taxonomy363LC1500X
Legal Business NameCENTRAL ILLINOIS FRIENDS OF PWA, INC.
Location Address2112 E WAR MEMORIAL DRPeoria, IL 61614-8002
Mailing Address2112 E War Memorial DrPeoria, IL 61614-8002 · (309) 431-5880
Phone(309) 431-5880
Organization SubpartNo
Authorized OfficialDeric KimlerExecutive Director · (309) 431-5880
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1922945542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
2112 E WAR MEMORIAL DR, Peoria, IL 61614
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL ILLINOIS FRIENDS OF PWA, INC.
Clinic/Center (Community Health)
2112 E WAR MEMORIAL DR
PEORIA, IL 61614
Peoria County (309) 431-5880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Illinois Friends Of Pwa, Inc.'s NPI number?

The NPI number for Central Illinois Friends Of Pwa, Inc. is 1922945542. It was assigned to this organization in the NPPES registry on May 1, 2026.

Where is Central Illinois Friends Of Pwa, Inc. located?

Central Illinois Friends Of Pwa, Inc. is located at 2112 E War Memorial Dr, Peoria, IL 61614. The listed phone number is (309) 431-5880.

What is Central Illinois Friends Of Pwa, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Community Health, with taxonomy code 363LC1500X.

When was this NPI record last updated?

The NPPES record for Central Illinois Friends Of Pwa, Inc. was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.