Gheisarifar, Maryam

Gheisarifar, Maryam is an sole proprietor health care provider with primary practice located at 801 S Paulina St , Chicago IL 60612-7210. She recently has only one registered license in Dental Providers / Prosthodontics, which is considered as her primary health care specialty. Gheisarifar, Maryam can be contacted via phone (414) 808-5822.

Contact Information

Primary practice address
801 S Paulina St Chicago IL 60612-7210
Phone: (414) 808-5822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 019.033384 Illinois

Profile Details

NPI number 1831731116
LBN Legal business name Gheisarifar, Maryam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 8th, 2019
Last updated Sep 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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