Individual
DANIEL TODD ROSENBLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1801 W WINDSOR RD, CHAMPAIGN, IL 61822-6217
(217) 366-5434
(217) 366-8074
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-5434
(217) 366-8074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036169884
IL
Other
Enumeration date
04/18/2016
Last updated
10/09/2024
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