| Kannan Vinaitheerthan, Inc. | |
|
6421 N Trumbull Ave Lincolnwood IL 60712-3820 | |
| (630) 615-1670 | |
| Not Available |
| Full Name | Kannan Vinaitheerthan, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 6421 N Trumbull Ave, Lincolnwood, Illinois |
| Authorized Official Name and Position | Kannan Vinaitheerthan (THERAPIST/ PRACTICE OWNER) |
| Authorized Official Contact | 6306151670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kannan Vinaitheerthan, Inc. 6421 N Trumbull Ave Lincolnwood IL 60712-3820 Ph: (630) 615-1670 | Kannan Vinaitheerthan, Inc. 6421 N Trumbull Ave Lincolnwood IL 60712-3820 Ph: (630) 615-1670 |
| NPI Number | 1578210571 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/23/2022 |
| Certification Date | 03/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578210571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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