Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Todd Rosenblat

Individual provider Internal Medicine Physician · NPI 1063866986

Daniel Todd Rosenblat is an Internal Medicine in Champaign, Illinois. Qualified in 2016, 10 years ago. Practices with Christie Clinic, PLLC, a 220-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

1801 W Windsor Rd
Champaign, IL 61822-6217
Phone: (217) 366-5434
Fax: (217) 366-8074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036169884 (IL)

Record details

NPI number1063866986
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2016
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024
Mailing address101 W University Ave, Champaign, IL 61820-3981

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Christie Clinic, Pllc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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