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1063866986
DANIEL TODD ROSENBLAT
CHAMPAIGN, IL
NPI
1063866986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036169884)
Enumeration Date
2016-04-18
Last Update Date
2024-10-09
Business Address
DANIEL TODD ROSENBLAT
1801 W WINDSOR RD
CHAMPAIGN, IL 61822-6217
Phone number: 217-366-5434
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Mailing Address
DANIEL TODD ROSENBLAT
101 W UNIVERSITY AVE
CHAMPAIGN, IL 61820-3981
Phone number: 217-366-5434
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