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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SHAUN T ITTIARA, M.D.

Active

DR. SHAUN T ITTIARA, M.D. is a Sports Medicine (Emergency) healthcare provider located in CHICAGO, Illinois. NPI 1992995542 is currently active in the NPPES registry. Verify at CMS.

Sports Medicine (Emergency) · CHICAGO, IL

Registration Details

NPI Number
1992995542
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2007 (19.002485734445 yrs)
Last Updated
Jul 5, 2023
Licenses
036127360 (IL)
036.127360 (IL)

Practice Information

Address
2600 S MICHIGAN AVE STE 212
CHICAGO, IL, 606162859
Browse IL providers · Browse ZIP 60616
Phone
3125672795
Fax
8007074890
Primary Specialty
Sports Medicine (Emergency)
207WX0107X
Additional Specialty
Sports Medicine (Emergency)

Other Sports Medicine (Emergency) Providers in CHICAGO, IL

Name Credential NPI
JAMES L GREEN M.D. 1154322790
DR. JEFFREY R PARNELL M.D. 1902873722
BLAKE H HORIO MD 1205909447
DR. PAULPOJ CHIRANAND MD 1639377260
DR. VEENA RAO RAIJI MD, MPH 1477735595
DR. RIA DIRGHAYU DESAI MD 1235572173
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.