Healthcare Provider Details

I. General information

NPI: 1609799790
Provider Name (Legal Business Name): ARNALDO ROIZENBLATT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1009 SOUTH WOOD ST OPHTHALMOLOGY DEPARTMENT
CHICAGO IL
60612
US

IV. Provider business mailing address

903 SOUTH ASHLAND AVE APT 806
CHICAGO IL
60607
US

V. Phone/Fax

Practice location:
  • Phone: 312-996-5097
  • Fax: 312-996-7770
Mailing address:
  • Phone: 312-996-5097
  • Fax: 312-996-7770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number125.087548
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: