MARYAM GHEISARIFAR
NPI 1831731116
Dentist - Prosthodontics in Chicago, IL

Active since October 08, 2019
801 S PAULINA ST, CHICAGO, IL 60612(414) 808-5822 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maryam Gheisarifar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYAM GHEISARIFAR (NPI 1831731116) is an individual prosthodontics provider in Chicago, Illinois, licensed in Illinois (019.033384) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1831731116
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameMARYAM GHEISARIFAR
Location Address801 S PAULINA STChicago, IL 60612-7210
Mailing Address500 W Superior St Unit 1205Chicago, IL 60654-8139 · (414) 808-5822
Sole ProprietorYes
Enumeration DateOctober 8, 2019
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
NPI 1831731116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License Licensed in IL · 019.033384
Definition

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.

801 S PAULINA ST, Chicago, IL 60612

Accepted Insurance

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
801 S PAULINA ST, MC 841
CHICAGO, IL 60612
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Dentist (Pediatric Dentistry)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Dentist (Endodontics)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Dentist (Prosthodontics)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Dentist (Oral and Maxillofacial Surgery)
801 S PAULINA ST, COLLEGE OF DENTISTRY
CHICAGO, IL 60612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1831731116, enumerated as an "individual" on October 08, 2019.

The provider is located at 801 S PAULINA ST CHICAGO, IL 60612 and the phone number is (414) 808-5822.

Dentist with taxonomy code 1223P0700X and a focus in Prosthodontics.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.