| Doctor Name: | KINJAL KADAKIA |
| NPI Number: | 1619133469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 036121138 |
| Business Practice Address: | 99 Boulder Hill Pass Montgomery, IL - 60538 |
| Business Phone Number: | 6308972848 |
| Business Fax Number: | 6308974498 |
| Mailing Address: | 2040 Ogden Avenue, Suite 313 AURORA |
| State: | IL |
| Postal Code: | 60504 |
| Phone Number: | 6304992404 |
| Fax Number: | 6304992399 |
| NPI Enumeration Date: | 07/31/2008 |
| NPI Last Update Date: | 02/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | 036121138 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |