Individual provider · Type 1 NPI

Maryam Gheisarifar

Prosthodontics · Chicago, IL

NPI number 1831731116 Active

Practice location

801 S Paulina St
Chicago, IL 60612-7210

Mailing address

500 W Superior St Unit 1205
Chicago, IL 60654-8139

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics Primary 1223P0700X019.033384 (IL)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

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About NPI 1831731116

Maryam Gheisarifar's National Provider Identifier is 1831731116, issued on Oct 8, 2019. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 25, 2023.