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MR. MARK NORMAN GRAVDAL R.PH., CGP
NPI 1780988535
Pharmacist - Geriatric in Crystal Lake, IL

Active since January 07, 2011
297 CASCADE DR, CRYSTAL LAKE, IL 60012(815) 479-8363 Get Directions Write a Review

NPPES record last updated: January 7, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Norman Gravdal R.ph., Cgp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MARK NORMAN GRAVDAL R.PH., CGP (NPI 1780988535) is an individual geriatric provider in Crystal Lake, Illinois, licensed in Illinois (051030001) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1780988535
Entity TypeIndividualMale
Primary Taxonomy1835G0303X
Provider Legal NameMR. MARK NORMAN GRAVDALCredential: R.PH., CGP
Location Address297 CASCADE DRCrystal Lake, IL 60012-3345
Mailing Address297 Cascade DrCrystal Lake, IL 60012-3345 · (815) 479-8363
Phone(815) 479-8363
Sole ProprietorYes
Enumeration DateJanuary 7, 2011
✔ NPI 1780988535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · GeriatricPharmacy Service Providers
Taxonomy Code1835G0303X
License✔ Licensed in IL · 051030001
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.
297 CASCADE DR, Crystal Lake, IL 60012
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Gravdal's NPI number?

The NPI number for Mark Gravdal is 1780988535. It was assigned to this individual provider in the NPPES registry on January 7, 2011.

Where is Mark Gravdal located?

Mark Gravdal practices at 297 Cascade Dr, Crystal Lake, IL 60012. The listed phone number is (815) 479-8363.

What is Mark Gravdal's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Geriatric, with taxonomy code 1835G0303X.

When was this NPI record last updated?

The NPPES record for Mark Gravdal was last updated on January 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.