Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Shanta Kanukollu, PHD

Individual provider Clinical Psychologist · NPI 1942689435

Dr. Shanta Kanukollu, PHD is a Clinical Psychologist in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

10201 S Cicero Ave
Oak Lawn, IL 60453-4098
Phone: (847) 377-4496
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.008400 (IL)

Record details

NPI number1942689435
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 29, 2015
Last updated in NPPESMay 29, 2015

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