Ittiara, Shaun T

Ittiara, Shaun T is an individual health care provider with primary practice located at 2600 S Michigan Ave Ste 212 , Chicago IL 60616-2859. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is his primary health care specialty. Ittiara, Shaun T can be contacted via phone (312) 567-2795.

Contact Information

Primary practice address
2600 S Michigan Ave Ste 212 Chicago IL 60616-2859
Phone: (312) 567-2795
Fax: (800) 707-4890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036127360 Illinois
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 036.127360 Illinois

Profile Details

NPI number 1992995542
LBN Legal business name Ittiara, Shaun T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jul 5th, 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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