Alan I. Rosenblatt, M.D.

Primary specialty

Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X

License

036110169 Issued in IL

Practice address

4801 W Peterson Ave
Suite 204
Chicago, IL 60646-5713

Phone

(773) 481-1818

Fax

(773) 481-1919

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1649320375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 800",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761246",
            "telephone_number": "847-677-1818",
            "fax_number": "847-677-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W PETERSON AVE",
            "address_2": "SUITE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606465713",
            "telephone_number": "773-481-1818",
            "fax_number": "773-481-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLATT",
        "first_name": "ALAN",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "IL",
            "license": "036110169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel I Rosenberg
• Sharon R Rosenberg, M.D.
• Tanya Rosenberg, NP
• Walter Rosenberg
• Adena Rosenblatt
• Hannah Grace Rosenblatt, LCSW
• Jeffrey Rosenblatt, D.O.
• Emily Jones Simon Rosenbloom, LCSW
• Sarah Kathryn Rosenbloom, PH.D.
• Sharon Lynn Rosenbloom, MA, CCC-SLP

• Pediatric Neurodevelopmental Disabilities Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Neurodevelopmental Disabilities Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.