Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON GHODASRA, M.D.
ActiveDR. JASON GHODASRA, M.D. is a Orthopaedic Surgery of the Spine healthcare provider located in NEW LENOX, Illinois. NPI 1316280159 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery of the Spine · NEW LENOX, IL
Registration Details
- NPI Number
- 1316280159
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2013 (13.424330820083 yrs)
- Last Updated
- Dec 14, 2022
- License
-
036-150218 (IL)
Practice Information
- Address
-
1870 SILVER CROSS BLVD STE 200NEW LENOX, IL, 604518646Browse IL providers · Browse ZIP 60451
- Phone
- 8154623474
- Fax
- 8154621032
- Primary Specialty
-
Orthopaedic Surgery of the Spine
207XS0106X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.