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Individual

SANDHYA JAYARAM SHETTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1420 KENSINGTON RD., 201, OAK BROOK, IL 60523
(630) 286-8939
(630) 286-8941
Mailing address
1420 KENSINGTON RD, 201, OAK BROOK, IL 60523-2143
(630) 286-8939
(630) 286-8941

Taxonomy

Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
070009151
IL

Other

Enumeration date
09/01/2016
Last updated
09/01/2016
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