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Dr. Jason Ghodasra, MD
Orthopedic Hand Surgery Physician in New Lenox, Illinois
NPI 1316280159

Jason Ghodasra is a Orthopedic Hand Surgery Physician based in New Lenox, IL and is specialized in Hand Surgery. Jason Ghodasra practices in New Lenox, IL and has the professional credentials of MD. The NPI Number for Jason Ghodasra is 1316280159 and holds a License No. 036-150218 (Illinois).

The current practice location address for Jason Ghodasra is 1870 Silver Cross Blvd Ste 200, New Lenox, IL and can be reached out via phone at 815-462-3474 and via fax at 815-462-1032.

Location: 1870 Silver Cross Blvd Ste 200, New Lenox, IL, 60451-8646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316280159
Provider Name
Jason Ghodasra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1870 Silver Cross Blvd Ste 200, New Lenox, IL, 60451-8646
Phone Number
815-462-3474
Fax Number
815-462-1032
Provider Enumeration Date
03/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1870 Silver Cross Blvd Ste 200
City
New Lenox
State
Illinois
Zip
60451-8646
Phone Number
815-462-3474
Fax Number
815-462-1032
person
Provider Business Mailing Address Details
Address
1870 Silver Cross Blvd Ste 200
City
New Lenox
State
Illinois
Zip
60451-8646
Phone Number
815-462-3474
Fax Number
815-462-1032
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
036-150218 (Illinois)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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