Individual
MR. CHANDRAKANT KANTILAL SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D. LCPC
Contact information
Practice address
9418 DEE RD, UNITE NO.2E, DES PLAINES, IL 60016-3866
(224) 409-4037
Mailing address
9418 DEE RD, UNITE NO.2E, DES PLAINES, IL 60016-3866
(224) 409-4037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.002818
IL
103TB0200X
Cognitive & Behavioral Psychologist
180002818
IL
103TC2200X
Clinical Child & Adolescent Psychologist
180002818
IL
103TP2701X
Group Psychotherapy Psychologist
180002818
IL
Other
Enumeration date
01/10/2014
Last updated
01/11/2017
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