Gonavarum, Prasad B

Gonavarum, Prasad B is an individual health care provider with primary practice located at 2413 S State St Ideal Dental Center, Chicago IL 60616-2311. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Gonavarum, Prasad B can be contacted via phone (312) 528-1800.

Contact Information

Primary practice address
2413 S State St Ideal Dental Center Chicago IL 60616-2311
Phone: (312) 528-1800
Fax: (312) 528-1881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1174512339
LBN Legal business name Gonavarum, Prasad B
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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