Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GAURAV PRAVINCHANDRA MODI
NPI 1215856992
Dentist - General Practice in Mundelein, IL

Active since July 15, 2026
1174 W MAPLE AVE, MUNDELEIN, IL 60060(847) 305-4700 Get Directions Write a Review

NPPES record added: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gaurav Pravinchandra Modi NPPES

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

GAURAV PRAVINCHANDRA MODI (NPI 1215856992) is an individual general practice provider in Mundelein, Illinois, licensed in Illinois (019.037316) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1215856992
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGAURAV PRAVINCHANDRA MODI
Location Address1174 W MAPLE AVEMundelein, IL 60060-1438
Mailing Address272 Le Parc CirBuffalo Grove, IL 60089-6903
Sole ProprietorYes
Enumeration DateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
NPI 1215856992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.037316
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1174 W MAPLE AVE, Mundelein, IL 60060

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1174 W MAPLE AVE
MUNDELEIN, IL 60060

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 Gaurav Modi's NPI number?

The NPI number for Gaurav Modi is 1215856992. It was assigned to this individual provider in the NPPES registry on July 15, 2026.

Where is Gaurav Modi located?

Gaurav Modi practices at 1174 W Maple Ave, Mundelein, IL 60060. The listed phone number is (847) 305-4700.

What is Gaurav Modi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Gaurav Modi was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.