MEDICARE: THE BABY FOLD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	020329	IL
2	101YM0800X	Mental Health Counselor		IL

General Provider Information

NPI Number	:	1972946739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BABY FOLD

Provider Business Mailing Address
First Line	:	108 E WILLOW ST
Second Line	:
City	:	NORMAL
State	:	IL
Zip	:	61761-1640
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	108 E WILLOW ST
Second Line	:
City	:	NORMAL
State	:	IL
Zip	:	61761-1640
Country	:	US
Telephone Number	:	309-452-1170
Fax Number	:

Authorized Official
Title or Position	:	CHEIF EXECUTIVE OFFICER
Name	:	MR. CLETUS WINKELMANN
Credential	:
Telephone Number	:	309-452-1170

Provider Enumeration Date	:	04/11/2013
Last Update Date	:	06/09/2026

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Directions to “THE BABY FOLD ” Practice Location

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