OrganizationActive
Central Illinois Friends of Pwa, Inc.
NPI 1447866900 · Community Health Clinic/Center · Peoria, IL
Provider details
- NPI number
- 1447866900
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Deric Kimler, Executive Director(309) 671-2144
Specialties & taxonomies
Ambulatory Health Care Facilities
- Case Management Agency251B00000X
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
- Voluntary or Charitable Agency251V00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Community Health Nurse Practitioner363LC1500X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2112 E War Memorial Dr
Peoria, IL 61614-8002
Phone: (309) 431-5880
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5022
Peoria, IL 61601-5022
Other names (DBA / former)
- Doing business as
- Central Illinois Friends
Registry dates
- Enumerated
- 2020-09-21
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.