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Edgar Auf Dem Graben
Geriatric Pharmacist in Des Plaines, Illinois
NPI 1336702125

Edgar Auf Dem Graben is a Geriatric Pharmacist based in Chicago, IL and is specialized in Geriatric. Edgar Auf Dem Graben practices in Des Plaines, IL. The NPI Number for Edgar Auf Dem Graben is 1336702125 and holds a License No. 054-035924 (Illinois).

The current practice location address for Edgar Auf Dem Graben is 100 N River Rd Ste G122, Des Plaines, IL and can be reached out via phone at 847-581-0800 and via fax at 847-410-4910. You can also correspond with Edgar Auf Dem Graben through the mailing address at 6493 N NORTHWEST HWY APT 409, CHICAGO, IL - 60631-1892 (mailing address contact number: 708-774-4946).

Location: 100 N River Rd Ste G122, Des Plaines, IL, 60631-1892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336702125
Provider Name
Edgar Auf Dem Graben
Credential
Provider Entity Type
Individual
Gender
Male
Address
100 N River Rd Ste G122, Des Plaines, IL, 60631-1892
Phone Number
847-581-0800
Fax Number
847-410-4910
Provider Enumeration Date
04/17/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
054-035924 01 IL ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
100 N River Rd Ste G122
City
Des Plaines
State
Illinois
Zip
60016-1209
Phone Number
847-581-0800
Fax Number
847-410-4910
person
Provider Business Mailing Address Details
Address
100 N River Rd Ste G122
City
Des Plaines
State
Illinois
Zip
60016-1209
Phone Number
847-581-0800
Fax Number
847-410-4910
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
Geriatric
Taxonomy
1835G0303X
License No.
054-035924 (Illinois)
Definition
A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
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