| Dr Jason Ghodasra, MD | |
|
1870 Silver Cross Blvd Ste 200, New Lenox, IL 60451-8646 | |
| (815) 462-3474 | |
| (815) 462-1032 |
| Full Name | Dr Jason Ghodasra |
|---|---|
| Gender | Male |
| Speciality | Hand Surgery |
| Experience | 12 Years |
| Location | 1870 Silver Cross Blvd Ste 200, New Lenox, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316280159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 036-150218 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Silver Cross Hospital And Medical Centers | New lenox, IL | Hospital |
| Presence Saint Joseph Medical Center | Joliet, IL | Hospital |
| Morris Hospital & Healthcare Centers | Morris, IL | Hospital |
| Elmhurst Memorial Hospital | Elmhurst, IL | Hospital |
| Edward Hospital | Naperville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illinois Bone And Joint Institute, Llc | 6002814878 | 550 |
| Entity Name | Hinsdale Orthopaedic Associates, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235217209 PECOS PAC ID: 3476549452 Enrollment ID: O20040423001010 |
| Entity Name | Illinois Bone And Joint Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Ghodasra, MD 1870 Silver Cross Blvd Ste 200, New Lenox, IL 60451-8646 Ph: (815) 462-3474 | Dr Jason Ghodasra, MD 1870 Silver Cross Blvd Ste 200, New Lenox, IL 60451-8646 Ph: (815) 462-3474 |
Lauren Nicole Voss, PA Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 688 Cedar Crossings Dr, New Lenox, IL 60451 Phone: 815-727-3030 Fax: 815-463-8268 |