Edwin J Boklewski, R.PH.
Individual provider Active NPI Pharmacist · Elk Grove Village, IL
NPI 1255450359 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255450359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 980 Elk Grove Town Ctr
Elk Grove Village, IL 60007-3754 - Phone
- (847) 758-8524
- Fax
- (847) 758-8545
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.027532 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
980 Elk Grove Town Ctr
Elk Grove Village, IL 60007-3754
Mailing address
163 Ridgewood Ave
Bensenville, IL 60106-2036
Phone (630) 595-8469
Other providers in Elk Grove Village, IL
- Joseph M. Blair
- Jessica M Blank
- Erin Blasier
- Rohna Bober
- John Bogen
- Bonaventure Medical Foundation, LLC
- Traci Allison Bookler
- Amy Bordwell
- Marilyn Borkgren
- Anne Rogers Bosslet
All providers in Elk Grove Village, IL · Pharmacist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.