Maryam Gheisarifar
Maryam Gheisarifar is a Prosthodontics in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2019
Practice location Address checks out
801 S Paulina StChicago, IL 60612-7210
Phone: (414) 808-5822
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Specialties & licences
| Prosthodontics (primary) | Taxonomy 1223P0700X · Licence 019.033384 (IL) |
|---|
Record details
| NPI number | 1831731116 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2019 |
| Last updated in NPPES | September 25, 2023 |
| Certification date | September 25, 2023 |
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