Search › Illinois › 207WX0107X
Shaun Ittiara, M.D
NPI 1992995542 · on the registry since 2007
Practice
- Address
- 2600 S Michigan Ave Ste 212
Chicago, IL 60616 - Phone
- (312) 567-2795
- Fax
- (800) 707-4890
- Organisation at this address
- Hair Haven
Medico Pllc
Alton Wong Md, Sc
Answers 2 Hairloss
Sami Atassi Md LtdInferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Additional practice sites
- 4429 W 95th St, Oak Lawn, IL
- 3241 S Michigan Ave, Chicago, IL
- 5758 S. Maryland Ave, Chicago, IL
Registry record
- Primary taxonomy
- 207WX0107X
207WX0107X
- Also registered as
- 207W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois