NPIMap

Organization Active NPI

Charles C Gerleman D C P C

  • Chiropractor
  • Milan, IL
National Provider Identifier
1457578122
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
060001569 Issued in IL
Legal business name
CHARLES C GERLEMAN D C P C
Practice address
504 1St St W
Milan, IL 61264-2716
Phone
(309) 787-4944
Fax
(309) 787-9440
NPI assigned
Apr 20, 2007
Last updated
Sep 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Authorized official

Name
Dr. Patricia Gerleman Basala, DCNPI 1184684524
Title
President
Phone
(309) 787-4944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 060001569 IL Primary

Addresses

Primary practice location

504 1St St W
Milan, IL 61264-2716

Mailing address

504 1St St W
Milan, IL 61264-2716
Phone (309) 787-4944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000200 IL Part B Supplier - Clinic/Group Practice 1153407440 Receives reassigned benefits from 6 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Galesburg, IL; Kewanee, IL; Milan, IL; Rushville, IL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Charles C Gerleman DC P4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

504 1st St W
Milan, IL 61264
Phone (309) 787-4944

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1457578122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 1ST ST W",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642716",
            "telephone_number": "309-787-4944",
            "fax_number": "309-787-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 1ST ST W",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642716",
            "telephone_number": "309-787-4944",
            "fax_number": "309-787-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES C GERLEMAN D C P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "BASALA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "GERLEMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-787-4944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "060001569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.