Jodi E Perrin, DC
Individual provider Active NPI Chiropractor · N. Aurora, IL
NPI 1194709261 · NPPES record last updated May 15, 2019
Key facts
- NPI
- 1194709261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038010231 (IL)
- Practice address
- 217 Long Ave
N. Aurora, IL 60542 - Phone
- (630) 618-8559
- NPI assigned
- Dec 2, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090318000534 | IL | Practitioner - Chiropractic | 9830125459 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010231 | IL | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy Futures Chiropractic, LTD. | Chiropractor | Current |
Accepting new patients |
| Semlow Chiropractic Center, PC | Chiropractor | Past | Accepting new patients |
| Robinson Chiropractic Center | Chiropractor | Past | Accepting new patients |
| Complete Chiropractic and Wellness Center LTD | Chiropractor | Past | Accepting new patients |
| BJS Chiropractic, PLC | Chiropractor | Past | Accepting new patients |
Locations
2418 W Indian Trl
Ste A
Aurora, IL 60506
Phone (630) 907-1300
Interoperability endpoints
- jodi.perrin.1@11209.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 038010231 | IL | |
| Internist Chiropractor | 111NI0900X | 038010231 | IL | |
| Pediatric Chiropractor | 111NP0017X | 038010231 | IL | |
| Chiropractor | 111N00000X | 038010231 | IL | Yes |
Addresses
Primary practice location
217 Long Ave
N. Aurora, IL 60542
Mailing address
217 Long Ave
N. Aurora, IL 60542
Phone (630) 618-8559
Other names
- Jodi Elizabeth Semlow
Other providers in N. Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.