ORCHARD MEDICAL CENTER SC
NPI 1306835491
Family Medicine in Antioch, IL

Q: What is Orchard Medical Center Sc's NPI number?

The NPI number for Orchard Medical Center Sc is 1306835491. It was assigned to this organization in the NPPES registry on October 20, 2005.

Q: What is Orchard Medical Center Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 20, 2005CLIA 14D0411378 · Accreditation

543 ORCHARD ST, ORCHARD MEDICAL CENTER SC, ANTIOCH, IL 60002(847) 395-3322(847) 395-0921 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Orchard Medical Center Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORCHARD MEDICAL CENTER SC (NPI 1306835491) is a healthcare organization registered as a family medicine in Antioch, Illinois and active in the NPI registry since October 2005. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Ashley Matus, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1306835491

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameORCHARD MEDICAL CENTER SC

Location Address543 ORCHARD ST, ORCHARD MEDICAL CENTER SCAntioch, IL 60002-3107

Mailing Address543 Orchard St Orchard Medical Center ScAntioch, IL 60002-3107 · (847) 395-3322 · Fax (847) 395-0921

Phone(847) 395-3322

Fax(847) 395-0921

Organization SubpartNo

Authorized OfficialAshley MatusPractice Administrator · (847) 395-3322

Enumeration DateOctober 20, 2005

Last NPPES UpdateDecember 11, 2019

✔ NPI 1306835491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

543 ORCHARD ST, Antioch, IL 60002

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Other Identifiers 1

Medicaid637760IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0411378

Orchard Medical Center · Antioch, IL

Active · expires Dec 22, 2027

CLIA Number14D0411378

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorGuy Abderholden

Laboratory Phone(847) 395-3322

Laboratory LocationOrchard Medical Center543 Orchard, Antioch, IL 60002

CLIA data matches this NPI record on: Address Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL F WERNER

Physical Therapist