Kanika Shukul, LCPC, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

180009713 Issued in IL

Legal business name

KANIKA SHUKUL, LCPC, LLC

Practice address

4707 N Broadway St Ste 200
Chicago, IL 60640-4999

Phone

(773) 832-7878

Fax

(773) 832-7878

NPI assigned

Dec 8, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kanika Navneet Shukul

Title

Licensed Clinical Professional Coun

Phone

(773) 832-7878

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1467967760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 N BROADWAY ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404999",
            "telephone_number": "773-832-7878",
            "fax_number": "773-832-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 N BROADWAY ST STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606404999",
            "telephone_number": "773-832-7878",
            "fax_number": "773-832-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANIKA SHUKUL, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "SHUKUL",
        "authorized_official_first_name": "KANIKA",
        "authorized_official_middle_name": "NAVNEET",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "773-832-7878"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180009713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Kang
• Yeram Kang, DDS
• Caren Kangas, BCBA
• Joann Carol Kania, DDS
• Leah Kania, DNP, APRN, FNP-BC
• Vishnu Kanikanti
• Rebecca Marie Kanine, PHD
• Gary Kaniuk
• Julia Krystyna Kaniuk
• Danny Jacob Kaniyaly, PT, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.