Organization
KANIKA SHUKUL, LCPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANIKA NAVNEET SHUKUL (LICENSED CLINICAL PROFESSIONAL COUN)
(773) 832-7878
Entity
Organization
Contact information
Practice address
4707 N BROADWAY ST STE 200, CHICAGO, IL 60640-4999
(773) 832-7878
(773) 832-7878
Mailing address
4707 N BROADWAY ST STE 200, CHICAGO, IL 60640-4999
(773) 832-7878
(773) 832-7878
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
180009713
IL
Other
Enumeration date
12/08/2017
Last updated
11/14/2018
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