Organization
NEXT LEVEL HEALTH,LLC
Active
Other names
Next Level Health Cooperative
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMETT ANDREW BLAHNIK D.C. (OWNER)
(815) 708-6195
Entity
Organization
Contact information
Practice address
2835 MCFARLAND RD, SUITE D, ROCKFORD, IL 61107-6819
(815) 708-6195
Mailing address
2835 MCFARLAND RD, SUITE D, ROCKFORD, IL 61107-6819
(815) 708-6195
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4247012
WI
111NR0400X
Rehabilitation Chiropractor
Primary
038-011886
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000015023
MEDICARE PTAN
WI
Enumeration date
09/25/2008
Last updated
08/31/2013
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