Search › Illinois › 207XS0106X
Jason Ghodasra, M.D
NPI 1316280159 · on the registry since 2013
Practice
- Address
- 1870 Silver Cross Blvd Ste 200
New Lenox, IL 60451 - Phone
- (815) 462-3474
- Fax
- (815) 462-1032
- Organisation at this address
- Advanced Eye Care Sc
Advanced Eye Care Sc
Southwest Dermatology
Dupage Medical Group, Ltd.
Meridian App Medical Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Additional practice sites
- 951 Essington Rd, Joliet, IL
Registry record
- Primary taxonomy
- 207XS0106X
207XS0106X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois