Individual
JAYARAMA SHETTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, DELUTHERAN GENERAL HOSPITAL / PATHOLOGY DEPARTMENT, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
IL
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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