Organization
CENTRAL ILLINOIS FRIENDS OF PWA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIC KIMLER (EXECUTIVE DIRECTOR)
(309) 431-5880
Entity
Organization
Contact information
Practice address
311 E MAIN ST STE 409, GALESBURG, IL 61401-4867
(309) 431-5880
Mailing address
PO BOX 5022, PEORIA, IL 61601-5022
(309) 431-5880
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/23/2026
Last updated
05/08/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us