Central Illinois Friends of Pwa, Inc
Central Illinois Friends of Pwa, Inc is a Community Health Clinic/Center in Peoria, Illinois. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
120 NE Glen Oak Ave Ste 201Peoria, IL 61603-4315
Phone: (309) 431-5880
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Nurse Practitioner (primary) | Taxonomy 363LC1500X |
|---|---|
| Community Health Clinic/Center | Taxonomy 261QC1500X |
Record details
| NPI number | 1376492306 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Deric Kimler — Executive Director · (309) 431-5880 |
| NPI enumerated | January 23, 2026 |
| Last updated in NPPES | January 23, 2026 |
| Certification date | January 23, 2026 |
| Mailing address | Po Box 5022, Peoria, IL 61601-5022 |