Individual provider · Type 1 NPI

Polina Georgievna Gubareva

Periodontics · Chicago, IL

NPI number 1154062354 Active

Practice location

811 S Paulina St
Chicago, IL 60612-4353

Call (312) 996-7555 Map

Mailing address

811 W Wellington Ave
Chicago, IL 60657-5123

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X019.033697 (IL)
Periodontics Primary 1223P0300X021.003533 (IL)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

13 other providers at this address

Other periodontics providers in Chicago

See all in Chicago →

About NPI 1154062354

Polina Georgievna Gubareva's National Provider Identifier is 1154062354, issued on Apr 5, 2022. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Nov 1, 2026.