Individual
KETJONA DELI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
120 PAM DAVIS DRIVE, SUITE 100, NAPERVILLE, IL 60540-7429
(630) 428-2229
(630) 428-0336
Mailing address
120 PAM DAVIS DRIVE, SUITE 100, NAPERVILLE, IL 60540-7429
(630) 428-2229
(630) 428-0336
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008146
IL
Other
Enumeration date
01/25/2021
Last updated
02/04/2026
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