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Dr. Shawn Michael Bladel, DC
Chiropractor in Rockford, Illinois
NPI 1770644908

Shawn Michael Bladel is a Chiropractor based in Rockford, IL. Shawn Michael Bladel practices in Rockford, IL and has the professional credentials of DC. The NPI Number for Shawn Michael Bladel is 1770644908 and holds a License No. 038.010820 (Illinois).

The current practice location address for Shawn Michael Bladel is 329 Amphitheater Dr, Rockford, IL and can be reached out via phone at 779-210-3994.

Location: 329 Amphitheater Dr, Rockford, IL, 61107-6662
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770644908
Provider Name
Shawn Michael Bladel
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
329 Amphitheater Dr, Rockford, IL, 61107-6662
Phone Number
779-210-3994
Fax Number
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
038.010820 01 IL STATE OF ILLINOIS LICENSE
institution
Provider Business Practice Location Address Details
Address
329 Amphitheater Dr
City
Rockford
State
Illinois
Zip
61107-6662
Phone Number
779-210-3994
Fax Number
person
Provider Business Mailing Address Details
Address
329 Amphitheater Dr
City
Rockford
State
Illinois
Zip
61107-6662
Phone Number
779-210-3994
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038.010820 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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