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KETJONA DELI PA-C
NPI 1750971685
Physician Assistant in Naperville, IL

Active since January 25, 2021
120 PAM DAVIS DRIVE, SUITE 100, NAPERVILLE, IL 60540(630) 428-2229(630) 428-0336 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Jan 11, 2022, Jan 25, 2021 (3 updates tracked since 2021).

About Ketjona Deli Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETJONA DELI PA-C (NPI 1750971685) is an individual physician assistant in Naperville, Illinois, licensed in Illinois (085.008146) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1750971685
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKETJONA DELICredential: PA-C
Location Address120 PAM DAVIS DRIVE, SUITE 100Naperville, IL 60540-7429
Mailing Address120 Pam Davis Drive, Suite 100Naperville, IL 60540-7429 · (630) 428-2229 · Fax (630) 428-0336
Phone(630) 428-2229
Fax(630) 428-0336
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
Last NPPES UpdateFebruary 4, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1750971685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.008146
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
120 PAM DAVIS DRIVE, Naperville, IL 60540
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES EDWARD MILLER M.D.
Obstetrics & Gynecology
120 PAM DAVIS DRIVE, SUITE 100
NAPERVILLE, IL 60540
Dupage County (630) 428-2229
KELLY RYAN MD
Obstetrics & Gynecology
120 PAM DAVIS DRIVE, SUITE 100
NAPERVILLE, IL 60540
Dupage County (630) 428-2229
DR. KIRSTEN SASAKI MD
Obstetrics & Gynecology
120 PAM DAVIS DRIVE
NAPERVILLE, IL 60540
Dupage County (630) 428-2229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketjona Deli's NPI number?

The NPI number for Ketjona Deli is 1750971685. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Ketjona Deli located?

Ketjona Deli practices at 120 Pam Davis Drive Suite 100, Naperville, IL 60540. The listed phone number is (630) 428-2229.

What is Ketjona Deli's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ketjona Deli was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.