SearchIllinoisClinical Psychologist

Shanta Kanukollu, PH.D

NPI 1942689435 · on the registry since 2015

Practice

Address
10201 S Cicero Ave
Oak Lawn, IL 60453
Phone
(847) 377-4496
Organisation at this address
Hines Vamc
Advocate Health And Hospitals Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
69

Registry record

Primary taxonomy
Clinical Psychologist
103TC0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-05-29

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