Individual provider · Type 1 NPI
Ishani Jetty, DPM
Foot & Ankle Surgery Podiatrist · Chicago, IL
NPI number
1861136426
Active
Practice location
836 W Wellington Ave
Chicago, IL 60657-5147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 135001154 (IL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1861136426
Ishani Jetty, DPM's National Provider Identifier is 1861136426, issued on Apr 20, 2022. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Chicago, IL. The record was last updated on Jan 4, 2024.