Jeramy David Blackwood, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.011293 Issued in IL

Practice address

222 10TH Ave E
Milan, IL 61264-3120

Phone

(309) 520-0222

Fax

(309) 786-0797

NPI assigned

Dec 23, 2009

Last updated

Jul 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blackwood Chiropractic, PLLC

  • Chiropractor
  • Milan, IL
  • NPI 1740165810
  Medicare reassignment NPD Authorized official
• Lundgren Chiropractic, LTD

  • Chiropractor
  • Rock Island, IL
  • NPI 1861654469
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1174852016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612643120",
            "telephone_number": "309-520-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612643120",
            "telephone_number": "309-520-0222",
            "fax_number": "309-786-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD",
        "first_name": "JERAMY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-23",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.011293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Katherine Barten, MA
• Patricia Gerleman Basala, DC
• Megan Benac
• Jessica Binns
• Blackwood Chiropractic, PLLC
• Karla Sue Buckrop, DC CHIROPRACTOR
• Raymond A Burge, DC
• Mudassar Ikram Buttar, PHARMD
• Charles C Gerleman D C P C
• Coyne Center Fire Protection and EMS District

• Chiropractor in Milan, IL
• Providers in Milan, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.