Provider Demographics
NPI:1124994801
Name:KRAFT, DANIEL R (PHARMD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:R
Last Name:KRAFT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 E SAINT CHARLES RD
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-3554
Mailing Address - Country:US
Mailing Address - Phone:217-741-8669
Mailing Address - Fax:
Practice Address - Street 1:26525 N RIVERWOODS BLVD
Practice Address - Street 2:
Practice Address - City:METTAWA
Practice Address - State:IL
Practice Address - Zip Code:60045-3440
Practice Address - Country:US
Practice Address - Phone:847-935-6409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-11
Last Update Date:2025-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051297063183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty