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1316280159
JASON GHODASRA
NEW LENOX, IL
NPI
1316280159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207XS0106X Orthopaedic Surgery Hand Surgery
(Licence: IL 036-150218)
Enumeration Date
2013-03-29
Last Update Date
2022-12-14
Business Address
DR. JASON GHODASRA M.D.
1870 SILVER CROSS BLVD STE 200
NEW LENOX, IL 60451-8646
Phone number: 815-462-3474
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Mailing Address
DR. JASON GHODASRA M.D.
1870 SILVER CROSS BLVD STE 200
NEW LENOX, IL 60451-8646
Phone number: 815-462-3474
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