Healthcare Provider Details

I. General information

NPI: 1124994801
Provider Name (Legal Business Name): DANIEL R KRAFT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2025
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26525 N RIVERWOODS BLVD
METTAWA IL
60045-3440
US

IV. Provider business mailing address

190 E SAINT CHARLES RD
ELMHURST IL
60126-3554
US

V. Phone/Fax

Practice location:
  • Phone: 847-935-6409
  • Fax:
Mailing address:
  • Phone: 217-741-8669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051297063
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: