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	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073445144
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	:	61761-1694
Country	:	US
Telephone Number	:	309-451-7201
Fax Number	:	309-452-0115

Provider Business Practice Location Address
First Line	:	108 E WILLOW ST
Second Line	:
City	:	NORMAL
State	:	IL
Zip	:	61761-1694
Country	:	US
Telephone Number	:	309-451-7201
Fax Number	:	309-452-0115

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	CLETUS WINKELMANN
Credential	:
Telephone Number	:	309-451-7201

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “THE BABY FOLD ” Practice Location

Language	Start Address	Practice Location

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