SearchIllinoisGeneral Practice Dentistry

Gaurav Aidasani

NPI 1083394704 · on the registry since 2023

Practice

Address
4721 S Kedzie Ave
Chicago, IL 60632
Phone
(773) 847-4444
Organisation at this address
Kedzie 47 Dental Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois