Search › Illinois › 111N00000X
Shawn Bladel, DC
NPI 1770644908 · on the registry since 2006
Practice
- Address
- 329 Amphitheater Dr
Rockford, IL 61107 - Phone
- (779) 210-3994
- Organisation at this address
- Wellness Way Rockford Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 111N00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois