Blackwood Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BLACKWOOD CHIROPRACTIC, PLLC

Practice address

222 10TH Ave E
Milan, IL 61264-3120

Phone

(309) 520-0222

NPI assigned

Aug 7, 2025

Last updated

Aug 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeramy David BlackwoodNPI 1174852016

Title

Owner

Phone

(309) 520-0222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Blackwood Chiropractic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Milan Medical Group LTD

  dba Blackwood Family Wellness

  • General Practice Physician
  • Milan, IL
  • NPI 1346362589
  NPD tax ID

Practitioners 1

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.

• Jeramy David Blackwood, D.C.

  • Chiropractor
  • Milan, IL
  • NPI 1174852016
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1740165810",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKWOOD CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "JERAMY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-520-0222"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avonlea Cottage of Quad Cities 2, LLC.
• Diane Marie Baldwin, DC
• Sarah Katherine Barten, MA
• Patricia Gerleman Basala, DC
• Jessica Binns
• Jeramy David Blackwood, D.C.
• Karla Sue Buckrop, DC CHIROPRACTOR
• Raymond A Burge, DC
• Mudassar Ikram Buttar, PHARMD
• Charles C Gerleman D C P C

• 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 Aug 7, 2025; 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.