| Daniel Todd Rosenblat, | |
|
1801 W Windsor Rd, Champaign, IL 61822-6217 | |
| (217) 366-5434 | |
| (217) 366-8074 |
| Full Name | Daniel Todd Rosenblat |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1801 W Windsor Rd, Champaign, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063866986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036169884 (Illinois) | Primary |
| Entity Name | Christie Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Todd Rosenblat, 101 W University Ave, Champaign, IL 61820-3981 Ph: (217) 366-5434 | Daniel Todd Rosenblat, 1801 W Windsor Rd, Champaign, IL 61822-6217 Ph: (217) 366-5434 |
Sarah Lovinger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Curtis Rd, Champaign, IL 61822 Phone: 217-365-6207 Fax: 217-365-6380 | |
Esha Patel, MD,MHA Internal Medicine Medicare: Medicare Enrolled Practice Location: 1050 Baytowne Dr Apt 24, Champaign, IL 61822 Phone: -- | |
Dr. Davendra P. Ramkumar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-6212 | |
Mr. Jason Trager, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 W University Ave, Champaign, IL 61820 Phone: 217-366-1304 | |
Dr. Yasser Ali Haider, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-1372 | |
Dr. Andrew J. Bartlett, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-5434 Fax: 217-366-8074 |