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

Prasad B Gonavarum, DDS

Individual provider General Practice Dentistry · NPI 1174512339

Prasad B Gonavarum, DDS is a General Practice Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2413 S State St Ideal Dental Ctr
Chicago, IL 60616-2311
Phone: (312) 528-1800
Fax: (312) 528-1881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1174512339
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 19, 2005
Last updated in NPPESJuly 13, 2026
Mailing address7439 Pipers Way, Apt # 2, Downers Grove, IL 60516-4050

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