OrganizationActive
Dr John F Blattner & Dr. Dwight D Heberer PC
NPI 1215958855 · Customized Equipment (DME) · Waterloo, IL
Provider details
- NPI number
- 1215958855
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- John Blattner, President(618) 939-4042
- License
- 019016532 (IL)
Specialties & taxonomies
Suppliers
Dental Providers
Suppliers
Practice location
226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Phone: (618) 939-4042
Fax: (618) 939-5404
Approximate (ZIP-level) locationGet directions
Mailing address
226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2017-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.