Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gaurav Pravinchandra Modi

Individual provider General Practice Dentistry · NPI 1215856992

Gaurav Pravinchandra Modi is a General Practice Dentistry in Mundelein, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

1174 W Maple Ave
Mundelein, IL 60060-1438
Phone: (847) 305-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.037316 (IL)

Record details

NPI number1215856992
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 15, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026
Mailing address272 Le Parc Cir, Buffalo Grove, IL 60089-6903

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