CRYSTAL KANNANKERIL PSYD LLC NPI 1336658848

NPI Information

NPI: 1336658848
Provider Name: CRYSTAL KANNANKERIL, PSYD LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
30 N MICHIGAN AVE STE 502
CHICAGO, IL
ZIP 60602
Phone: (312) 834-3076
Get Directions

CRYSTAL KANNANKERIL, PSYD LLC is a mental health (including community mental health center) clinic center in Chicago, IL. CRYSTAL KANNANKERIL, PSYD LLC NPI is 1336658848. The provider is registered as an organization entity type.

The provider's business location address is:

30 N MICHIGAN AVE STE 502
CHICAGO, IL
ZIP 60602-834
Phone: (312) 834-3076

The provider's authorized official is Crystal Kannankeril .
The authorized official title is Founder And Sole Practitioner and has the following contact phone number (312) 834-3076.

The enumeration date for this NPI number is 9/27/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	071008430	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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