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Maryam Gheisarifar — NPI 1831731116, Chicago, IL | NPI Central

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NPI 1831731116

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Maryam Gheisarifar

NPI 1831731116 · Prosthodontics · Chicago, IL

Provider details

NPI number: 1831731116
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Sex: Female
Sole proprietor: Yes
License: 019.033384 (IL)

Specialties & taxonomies

ProsthodonticsPrimary1223P0700XLicense 019.033384 (IL)
Dental Providers

Practice location

801 S Paulina St

Chicago, IL 60612-7210

Phone: (414) 808-5822

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

500 W Superior St Unit 1205

Chicago, IL 60654-8139

Registry dates

Enumerated: 2019-10-08
Last updated: 2023-09-25
Certified: 2023-09-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.