Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770644908 Individual Practitioner Male Practitioner

Dr. Shawn Michael Bladel , DC

Chiropractor • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shawn Bladel, DC is a registered healthcare professional specializing in Chiropractor in Rockford, IL. Practice services are available at 329 AMPHITHEATER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

329 Amphitheater Dr

Rockford, IL 611076662

Telephone 7792103994
Associated Practice Facility / Clinic
🏢 Wellness Way Rockford Llc Facility NPI 1104359066

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
74 Specialists

Practicing in Rockford, IL (4730 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License IL 038010820

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License IL 038.010820

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Of Illinois License
038.010820 (IL)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Chiropractor (License #038.010820 in IL)

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2017

Registered at 329 AMPHITHEATER DR, ROCKFORD, IL 611076662 (Tel: 7792103994)

📍
Updated Business Mailing Address July 10, 2017

Registered at 329 AMPHITHEATER DR, ROCKFORD, IL 611076662 (Tel: (779) 210-3994)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as SHAWN BLADEL, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Chiropractor (License #038.010820 in IL)

NPI Profile Active December 21, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2012

Registered at 19743 WOODBURY HILL, DANVILLE, IL 61834 (Tel: 2175168079)

📍
Updated Business Mailing Address December 21, 2012

Registered at 19743 WOODBURY HILL, DANVILLE, IL 61834 (Tel: 2175168079)

👤
Provider Name / Credentials Updated December 21, 2012

Recorded as SHAWN BLADEL, DOCTOR OF CHIROPRACT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2012

Chiropractor (License #038010820 in IL)

🟢
Initial NPI Registration & Enumeration December 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770644908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

329 Amphitheater Dr

Rockford, IL 611076662

Phone: 7792103994

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.