MEDICARE: AKASH JINDAL DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208100000X	Physical Medicine & Rehabilitation Physician	8266-851	WI
3	208100000X	Physical Medicine & Rehabilitation Physician	125.074880	IL

General Provider Information

NPI Number	:	1194285247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKASH JINDAL DO

Provider Business Mailing Address
First Line	:	301 W GRAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60654-4640
Country	:	US
Telephone Number	:	408-394-0283
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 N MAY ST STE 110
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-1237
Country	:	US
Telephone Number	:	312-757-4647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2019
Last Update Date	:	06/11/2026

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Directions to “ AKASH JINDAL DO” Practice Location

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