Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Central Illinois Family Practice

Organization Family Nurse Practitioner · NPI 1558665596

Central Illinois Family Practice is a Family Nurse Practitioner in Danville, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011

Practice location Address checks out

603 N Logan Ave
Danville, IL 61832-4320
Phone: (217) 213-5254
Fax: (217) 213-5240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209003483041 (IL)

Record details

NPI number1558665596
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Wagner — Family Nurse Practitioner · (217) 213-5254
NPI enumeratedJanuary 5, 2011
Last updated in NPPESJanuary 5, 2011
Mailing address603 N Logan Ave, Danville, IL 61832-4320

Other providers in Danville