Provider Demographics
NPI:1154684652
Name:SHUKUL, KANIKA NAVNEET (LCPC)
Entity Type:Individual
Prefix:MS
First Name:KANIKA
Middle Name:NAVNEET
Last Name:SHUKUL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5412 N CLARK ST STE 220
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60640-1272
Mailing Address - Country:US
Mailing Address - Phone:773-606-5303
Mailing Address - Fax:
Practice Address - Street 1:5412 N CLARK ST STE 220
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640-1272
Practice Address - Country:US
Practice Address - Phone:773-606-5303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
IL180009713101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional