MEDICARE: ORCHARD NATURAL MEDICINE, PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111NP0017X	Pediatric Chiropractor
2	111NI0900X	Internist Chiropractor
3	111NN1001X	Nutrition Chiropractor
4	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1750960167
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORCHARD NATURAL MEDICINE, PC

Provider Business Mailing Address
First Line	:	217 LONG AVE
Second Line	:
City	:	NORTH AURORA
State	:	IL
Zip	:	60542-1228
Country	:	US
Telephone Number	:	630-618-8559
Fax Number	:

Provider Business Practice Location Address
First Line	:	2418 W INDIAN TRL STE A
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60506-1590
Country	:	US
Telephone Number	:	630-962-6073
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. JODI E PERRIN
Credential	:	DC ND
Telephone Number	:	630-962-6073

Provider Enumeration Date	:	04/04/2021
Last Update Date	:	04/09/2021

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Directions to “ORCHARD NATURAL MEDICINE, PC ” Practice Location

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