Provider Demographics
NPI:1225239130
Name:JINDAL, KAJAL (PT)
Entity type:Individual
Prefix:MRS
First Name:KAJAL
Middle Name:
Last Name:JINDAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KAJAL
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:4608 FOXGLOVE CT
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-1034
Mailing Address - Country:US
Mailing Address - Phone:972-922-8460
Mailing Address - Fax:
Practice Address - Street 1:1250 N LA SALLE DR APT 1610
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-1955
Practice Address - Country:US
Practice Address - Phone:312-498-6620
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070012349225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist