OrganizationActive
Central Illinois Friends of Pwa, Inc.
NPI 1982553913 · Community Health Nurse Practitioner · Normal, IL
Provider details
- NPI number
- 1982553913
- Entity type
- Organization
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Deric Kimler, Executive Director(309) 431-5880
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
900 Franklin Ave
Normal, IL 61761-4604
Phone: (309) 431-5880
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 5022
Peoria, IL 61601-5022
Registry dates
- Enumerated
- 2026-01-23
- 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.