SearchIllinois225100000X

Prajakta Kudalkar, PT

NPI 1720660525 · on the registry since 2021

Practice

Address
1241 E Main St
Carbondale, IL 62901
Phone
(618) 529-0516
Fax
(618) 529-0403

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
Licence states on file
WI, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois