SHANTA KANUKOLLU

OAK LAWN, IL
NPI1942689435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071.008400)
Enumeration Date2015-05-29
Last Update Date2015-05-29
Business Address
Dr. SHANTA KANUKOLLU Ph.D.
10201 S CICERO AVE
OAK LAWN, IL 60453-4098
Phone number: 847-377-4496
Mailing Address
Dr. SHANTA KANUKOLLU Ph.D.
10201 S CICERO AVE
OAK LAWN, IL 60453-4098
Phone number: 847-377-4496