Dr. Jeramy David Blackwood, D.C.
Chiropractor in Milan, IL. Individual provider (NPI-1).
NPI number1174852016
StatusActive
Last updated in NPPESJul 28, 2025
Details
- NPI
- 1174852016
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeramy David Blackwood
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 23, 2009
- Certification date
- Jul 28, 2025
- Last updated
- Jul 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 038.011293 | IL | Yes |
Practice location
222 10th Ave EMilan, IL 61264-3120
Phone 309-520-0222 · Fax 309-786-0797
Mailing address
222 10th Ave EMilan, IL 61264-3120
Phone 309-520-0222
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