Retinal Vitreal Consultants Ltd

NPI #1164569380 in Chicago, Illinois

Provider Information

NPI Number: 1164569380
Entity Type: Organization
Organization Name: Retinal Vitreal Consultants Ltd
Primary Specialty: Ophthalmology
Enumeration Date: Jan 30, 2007
Last Updated: Jul 5, 2023

Practice Location

Address: 2600 S MICHIGAN AVE
Address 2: STE 212
City: Chicago
State: Illinois
ZIP Code: 60616-2859
Phone: (312) 567-2795

Authorized Official

Name: SHAUN T ITTIARA, MD
Title: AUTHORIZED OFFICIAL
Phone: (312) 567-2795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology - Retina Specialist — Retina Specialist	207WX0107X
Ophthalmology	207W00000X	Primary

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