IndividualActive
John Blattner, D.M.D
NPI 1720008329 · Customized Equipment (DME) · Waterloo, IL
Provider details
- NPI number
- 1720008329
- Entity type
- Individual
- Primary specialty
- Customized Equipment (DME)Suppliers
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19-016532 (IL)
Practice location
226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Phone: (618) 939-4042
Fax: (618) 939-5404
Mailing address
226 Westview Plaza Dr.
Waterloo, IL 62298-1253
Registry dates
- Enumerated
- 2006-07-19
- Last updated
- 2017-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.