Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215856992 Individual Practitioner Male Practitioner

Gaurav Pravinchandra Modi

Dentist - General Practice • Mundelein, IL

Professional Overview & Biography Verified Profile Summary

Gaurav Modi is a registered healthcare professional specializing in Dentist - General Practice in Mundelein, IL. Practice services are available at 1174 W MAPLE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1174 W Maple Ave

Mundelein, IL 600601438

Telephone 8473054700
Associated Practice Facility / Clinic
🏢 Om Family Dental Pllc Facility NPI 1740938000

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mundelein, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
23 Specialists

Practicing in Mundelein, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.037316

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 15, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2026

Registered at 1174 W MAPLE AVE, MUNDELEIN, IL 600601438 (Tel: 8473054700)

📍
Updated Business Mailing Address July 15, 2026

Registered at 272 LE PARC CIR, BUFFALO GROVE, IL 600896903

👤
Provider Name / Credentials Updated July 15, 2026

Recorded as GAURAV MODI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2026

Dentist (License #019.037316 in IL)

🟢
Initial NPI Registration & Enumeration July 15, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215856992
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2026
Last Update: July 15, 2026
Sole Proprietor: Yes

Mailing Address

272 Le Parc Cir

Buffalo Grove, IL 600896903

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.