Kanukollu, Shanta

Kanukollu, Shanta is an individual health care provider with primary practice located at 10201 S Cicero Ave , Oak Lawn IL 60453-4098. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kanukollu, Shanta can be contacted via phone (847) 377-4496.

Contact Information

Primary practice address
10201 S Cicero Ave Oak Lawn IL 60453-4098
Phone: (847) 377-4496
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.008400 Illinois

Profile Details

NPI number 1942689435
LBN Legal business name Kanukollu, Shanta
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2015
Last updated May 29th, 2015 - about 9 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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