Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Central Illinois Friends of Pwa, Inc

Organization Community Health Nurse Practitioner · NPI 1982553913

Central Illinois Friends of Pwa, Inc provides Community Health Nurse Practitioner services in Normal, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Franklin Ave
Normal, IL 61761-4604
Phone: (309) 431-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Nurse Practitioner (primary) Taxonomy 363LC1500X

Record details

NPI number1982553913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deric Kimler — Executive Director · (309) 431-5880
NPI enumeratedJanuary 23, 2026
Last updated in NPPESJanuary 23, 2026
Certification dateJanuary 23, 2026
Mailing addressPo Box 5022, Peoria, IL 61601-5022