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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARYAM GHEISARIFAR

Active Sole Proprietor

MARYAM GHEISARIFAR is a Pediatric Dentistry healthcare provider located in CHICAGO, Illinois. NPI 1831731116 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · CHICAGO, IL

Registration Details

NPI Number
1831731116
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2019 (6.66193101825 yrs)
Last Updated
Sep 25, 2023
License
019.033384 (IL)
Sole Proprietor
Yes

Practice Information

Address
801 S PAULINA ST
CHICAGO, IL, 606127210
Browse IL providers · Browse ZIP 60612
Phone
4148085822
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in CHICAGO, IL

Name Credential NPI
GHASSAN ABBOUD I 1508854910
GRANT SIMS 1780672121
DR. GLENN WILLIAM BREDFELDT D.D.S. 1528172715
DR. GORDON MATHEW CALLISON D.D.S. 1053412718
DR. MARTIN ALAN HIRSCH D.M.D. 1003948555
DR. LYNDON COOPER DDS, MS, PHD 1043335276
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.