Active NPI
Ketjona Deli, PA-C
- Physician Assistant
- Naperville, IL
National Provider Identifier
1750971685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085.008146
- Practice address
- 120 Pam Davis Drive
Suite 100
Naperville, IL 60540-7429 - Phone
- (630) 428-2229
- Fax
- (630) 428-0336
- NPI assigned
- Jan 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.008146 | IL | Primary |
Addresses
Primary practice location
120 Pam Davis Drive
Suite 100
Naperville, IL 60540-7429
Mailing address
120 Pam Davis Drive
Suite 100
Naperville, IL 60540-7429
Phone (630) 428-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.008146 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles E Miller M D SC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1639203516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1750971685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PAM DAVIS DRIVE",
"address_2": "SUITE 100",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407429",
"telephone_number": "630-428-2229",
"fax_number": "630-428-0336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PAM DAVIS DRIVE",
"address_2": "SUITE 100",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605407429",
"telephone_number": "630-428-2229",
"fax_number": "630-428-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELI",
"first_name": "KETJONA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-25",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085.008146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.