IndividualActive
Shaun Ittiara, M.D.
NPI 1992995542 · Retina Specialist (Ophthalmology) Physician · Chicago, IL
Provider details
- NPI number
- 1992995542
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036127360 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2600 S Michigan Ave Ste 212
Chicago, IL 60616-2859
Phone: (312) 567-2795
Fax: (800) 707-4890
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 166516
Chicago, IL 60616-6516
Additional practice locations (3)
- 3241 S Michigan AveChicago, IL 60616-4201Phone: (312) 949-7221Fax: (312) 949-7667
- 5758 S. Maryland AveDcam Eye CenterChicago, IL 60637Phone: (773) 702-3937
- 4429 W 95th StOak Lawn, IL 60453-2625Phone: (708) 442-2665Fax: (708) 422-2997
Registry dates
- Enumerated
- 2007-07-30
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.