Gurleen Rajput, DDS
Individual provider Active NPI Dentist · Chicago, IL
NPI 1104519941 · NPPES record last updated Jul 4, 2024
Key facts
- NPI
- 1104519941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 019.035041 (IL)
- Practice address
- 41 E 8TH St Apt 3202
Chicago, IL 60605-2441 - Phone
- (414) 426-2868
- NPI assigned
- May 29, 2023
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.035041 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 5 Star Family Dental | Past |
Accepting new patients | |
| John F Sullivan DDS & Patrick M Gorman DDS LTD | Dentist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.035041 | IL | Yes |
Addresses
Primary practice location
41 E 8TH St Apt 3202
Chicago, IL 60605-2441
Mailing address
615 E 162ND St
South Holland, IL 60473-2329
Phone (708) 331-1900
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.