CENTRAL ILLINOIS FRIENDS OF PWA, INC.
NPI 1982553913
Nurse Practitioner - Community Health in Normal, IL

Active since January 23, 2026
900 FRANKLIN AVE, NORMAL, IL 61761(309) 431-5880 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 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 1982553913) is a healthcare organization registered as a community health in Normal, Illinois and active in the NPI registry since January 2026. The organization lists Deric Kimler, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1982553913
Entity TypeOrganization
Primary Taxonomy363LC1500X
Legal Business NameCENTRAL ILLINOIS FRIENDS OF PWA, INC.
Location Address900 FRANKLIN AVENormal, IL 61761-4604
Mailing AddressPo Box 5022Peoria, IL 61601-5022 · (309) 431-5880
Organization SubpartNo
Authorized OfficialDeric KimlerExecutive Director · (309) 431-5880
Enumeration DateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
NPI 1982553913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Community HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC1500X
900 FRANKLIN AVE, Normal, IL 61761

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.

Nurse Practitioner (Family)
900 FRANKLIN AVE
NORMAL, IL 61761

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 1982553913. It was assigned to this organization in the NPPES registry on January 23, 2026.

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

Central Illinois Friends Of Pwa, Inc. is located at 900 Franklin Ave, Normal, IL 61761. 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 January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.