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DR. SHANTA KANUKOLLU PH.D.
NPI 1942689435
Psychologist - Clinical in Oak Lawn, IL

Active since May 29, 2015
10201 S CICERO AVE, OAK LAWN, IL 60453(847) 377-4496 Get Directions Write a Review

NPPES record last updated: May 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shanta Kanukollu Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANTA KANUKOLLU PH.D. (NPI 1942689435) is an individual clinical provider in Oak Lawn, Illinois, licensed in Illinois (071.008400) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1942689435
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANTA KANUKOLLUCredential: PH.D.
Location Address10201 S CICERO AVEOak Lawn, IL 60453-4098
Mailing Address10201 S Cicero AveOak Lawn, IL 60453-4098 · (847) 377-4496
Phone(847) 377-4496
Sole ProprietorNo
Enumeration DateMay 29, 2015
✔ NPI 1942689435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.008400
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
10201 S CICERO AVE, Oak Lawn, IL 60453
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIELLE MARIE VICENTE HERRERA PT, DPT
Physical Therapist
10201 S CICERO AVE
OAK LAWN, IL 60453
Cook County (708) 658-2770
HINES VAMC
Clinic/Center (VA)
10201 S CICERO AVE
OAK LAWN, IL 60453
Cook County (608) 821-7200
ROBERT MARTIN WADDELL PT
Physical Therapist
10201 S CICERO AVE
OAK LAWN, IL 60453
Cook County (708) 658-2770
ANDREA LOPEZ BCBA
Behavior Analyst
10201 S CICERO AVE
OAK LAWN, IL 60453
Cook County (815) 469-1500
LAURA COHEN LCSW
Social Worker (Clinical)
10201 S CICERO AVE
OAK LAWN, IL 60453
Cook County (708) 499-3675
MS. LATESHA MONAE CAMPBELL MOT OTR/L
Occupational Therapist
10201 S CICERO AVE
OAK LAWN, IL 60453
Cook County (708) 232-8993
BRENNA DAVILA
Behavior Technician
10201 S CICERO AVE
OAK LAWN, IL 60453
Cook County (815) 469-1500
DR. RON DOLGIN PH.D
Psychologist (Clinical)
10201 S CICERO AVE
OAK LAWN, IL 60453
Cook County (708) 499-3675

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shanta Kanukollu's NPI number?

The NPI number for Shanta Kanukollu is 1942689435. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Shanta Kanukollu located?

Shanta Kanukollu practices at 10201 S Cicero Ave, Oak Lawn, IL 60453. The listed phone number is (847) 377-4496.

What is Shanta Kanukollu's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Shanta Kanukollu was last updated on May 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.