DR. ALAN I. ROSENBLATT (NPI# 1649320375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649320375 |
| Entity Type | Individual |
| Full Name | DR. ALAN I. ROSENBLATT |
| Credential | M.D. |
| Practice Address |
4801 W Peterson Ave Suite 204 Chicago IL 60646-5713 |
| Mailing Address |
4711 Golf Rd Ste 800 Skokie IL 60076-1246 |
| Practice Telephone | 7734811818 |
| Practice Fax Number | 7734811919 |
| Mailing Telephone | 8476771818 |
| Mailing Fax Number | 8476771812 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
036110169 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4801 W PETERSON AVE SUITE 204 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667315 | Barry M Leavitt | Psychologist | 4801 W Peterson Ave, Ste 525, Chicago, IL 60646 | 2005-05-24 |
| 1790229441 | Valerie Deutsch | Behavioral Analyst | 4801 W Peterson Ave, Suite 512, Chicago, IL 60646-5713 | 2016-12-15 |
| 1730623729 | A Dragonfly Mind, LLC | Clinical Neuropsychologist | 4801 W Peterson Ave, Suite 301, Chicago, IL 60646-5726 | 2016-12-09 |
| 1760938260 | Catherine Bogacki | Social Worker | 4801 W Peterson Ave, Suite 308, Chicago, IL 60646-5713 | 2016-08-25 |
| 1841662434 | Paul Robert Muhr | Dentist | 4801 W Peterson Ave, Suite 407, Chicago, IL 60646-5713 | 2015-10-22 |
| 1548631245 | Amy Derusha | Behavioral Analyst | 4801 W Peterson Ave, 512, Chicago, IL 60646-5713 | 2015-10-07 |
| 1063818813 | Amalia Pepek | Nurse Practitioner | 4801 W Peterson Ave, Suite 506, Chicago, IL 60646-5713 | 2014-11-06 |
| 1689089286 | Roxanne Gayle | Behavioral Analyst | 4801 W Peterson Ave, #512, Chicago, IL 60646-5713 | 2014-06-23 |
| 1982018461 | Superior Rehab Center LLC | Physical Therapist | 4801 W Peterson Ave, 615, Chicago, IL 60646-5713 | 2014-06-12 |
| 1720415367 | Frank J Gutierrez | Counselor | 4801 W Peterson Ave, Suite 403, Chicago, IL 60646 | 2013-09-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
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| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295056893 | Nikolas Mata-machado | Pediatrics | 100 E 14th St Apt 801, Chicago, IL 60605-3666 | 2010-06-17 |
| 1871661686 | Kenneth Silver | Pediatrics | 5841 S Maryland Ave Mc 3055, University of Chicago Hospitals & Clinics, Chicago, IL 60637 | 2006-12-01 |
| 1063446151 | Milford Frank Schwartz | Pediatrics | 2041 N Halsted St, Chicago, IL 60614-4371 | 2006-07-11 |
| 1407238421 | Gisela Moreira Eyng | Pediatrics | 5841 S Maryland Ave # Mc3055, Chicago, IL 60637-1447 | 2015-06-25 |
| 1740607688 | Anisa Rahman | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043617137 | Catherine Wolpert Novas | Pediatrics | 280 S Green Bay Rd, Lake Forest, IL 60045-3056 | 2014-12-04 |
| 1265440663 | Pediatrics and Child Development Clinic Inc. | Pediatrics | 2575 W Algonquin Rd, Suite A, Algonquin, IL 60102-9403 | 2006-08-03 |
| 1174596225 | University of Illinois | Pediatrics | 515 Ne Glen Oak Ave, Pediatric Neurology, Peoria, IL 61603-3165 | 2006-02-09 |
| 1609990894 | Katerji Pediatric Neurology & Assoc | Pediatrics | 900 Jorie Blvd, Suite 220, Oak Brook, IL 60523-3846 | 2007-03-16 |
| 1346303138 | Steven B Coker, M.d., S.c. | Pediatrics | 25 N Winfield Rd, Winfield, IL 60190 | 2006-12-19 |
| 1336211457 | Abrar Arshad | Pediatrics | 565 Lakeview Pkwy, Suite 192, Vernon Hills, IL 60061-1838 | 2006-11-14 |
| 1568571479 | Ronald L Lindsay | Pediatrics | 507 E Armstrong Ave, Peoria, IL 61603-3201 | 2006-08-30 |
| 1295704468 | Blas Zelaya | Pediatrics | 515 Ne Glen Oak Ave, Pediatric Neurology #308, Peoria, IL 61603-3165 | 2006-03-17 |
| 1104895788 | Andrew Morgan | Pediatrics | 507 E Armstrong Ave, Regional Development Center, Peoria, IL 61603-3201 | 2006-03-16 |
| 1245209097 | Sally Winek | Pediatrics | 507 E Armstrong Ave, Regional Development Center, Peoria, IL 61603-3201 | 2006-03-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.