Provider Demographics
NPI:1649320375
Name:ROSENBLATT, ALAN I (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:I
Last Name:ROSENBLATT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4711 GOLF RD STE 800
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1246
Mailing Address - Country:US
Mailing Address - Phone:847-677-1818
Mailing Address - Fax:847-677-1812
Practice Address - Street 1:4801 W PETERSON AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-5713
Practice Address - Country:US
Practice Address - Phone:773-481-1818
Practice Address - Fax:773-481-1919
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2019-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0361101692080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities