Provider Demographics
NPI:1194709261
Name:PERRIN, JODI E (DC)
Entity type:Individual
Prefix:DR
First Name:JODI
Middle Name:E
Last Name:PERRIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JODI
Other - Middle Name:ELIZABETH
Other - Last Name:SEMLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:217 LONG AVE
Mailing Address - Street 2:
Mailing Address - City:N. AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60542
Mailing Address - Country:US
Mailing Address - Phone:630-618-8559
Mailing Address - Fax:
Practice Address - Street 1:217 LONG AVE
Practice Address - Street 2:
Practice Address - City:N. AURORA
Practice Address - State:IL
Practice Address - Zip Code:60542
Practice Address - Country:US
Practice Address - Phone:630-618-8559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-02
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010231111NN1001X, 111NI0900X, 111NP0017X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NI0900XChiropractic ProvidersChiropractorInternist
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor