| Crystal Kannankeril, Psyd Llc | |
|
30 N Michigan Ave Ste 502 Chicago IL 60602-3834 | |
| (312) 834-3076 | |
| Not Available |
| Full Name | Crystal Kannankeril, Psyd Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 30 N Michigan Ave Ste 502, Chicago, Illinois |
| Authorized Official Name and Position | Crystal Kannankeril (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 3128343076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Kannankeril, Psyd Llc 30 N Michigan Ave Ste 502 Chicago IL 60602-3834 Ph: (312) 834-3076 | Crystal Kannankeril, Psyd Llc 30 N Michigan Ave Ste 502 Chicago IL 60602-3834 Ph: (312) 834-3076 |
| NPI Number | 1902382351 |
|---|---|
| Provider Enumeration Date | 07/18/2018 |
| Last Update Date | 07/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902382351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071008430 (Illinois) | Primary |
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