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NPI Code Detail

MEDICARE: SWETA D SHETH

MEDICARE: SWETA D SHETH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian164005618IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1164005618OTHERILLIC NUMBER

General Provider Information

NPI Number : 1578823001
Entity Type Code : Individual
Provider Name (Legal Business Name) : SWETA D SHETH
Provider Business Mailing Address
First Line : 3423 WILKES DR
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-8214
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1635 OAKTON PL
Second Line :
City : DES PLAINES
State : IL
Zip : 60018-2002
Country : US
Telephone Number : 630-830-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2012
Last Update Date : 05/17/2012

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Directions to “ SWETA D SHETH ” Practice Location

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