IndividualActive
Edgar Auf Dem Graben
NPI 1336702125 · Geriatric Pharmacist · Des Plaines, IL
Provider details
- NPI number
- 1336702125
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 054-035924 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
100 N River Rd Ste G122
Des Plaines, IL 60016-1209
Phone: (847) 581-0800
Fax: (847) 410-4910
Approximate (ZIP-level) locationGet directions
Mailing address
6493 N Northwest Hwy Apt 409
Chicago, IL 60631-1892
Registry dates
- Enumerated
- 2019-04-17
- Last updated
- 2023-11-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.