Kannan Vinaitheerthan, LCSW

NPI #1790175768 in Wilmette, Illinois

Provider Information

NPI Number: 1790175768
Entity Type: Individual
Name: Kannan Vinaitheerthan, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jan 29, 2015
Last Updated: Jul 21, 2022

Practice Location

Address: 1215 WASHINGTON AVE STE 301
City: Wilmette
State: Illinois
ZIP Code: 60091-2574
Phone: (630) 615-1670

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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