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Organization

J.S. HASAN PLASTIC SURGERY, S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAFAR S HASAN M.D. (PRESIDENT)
(708) 492-0520
Entity
Organization

Contact information

Practice address
2450 WOLF RD, SUITE H, WESTCHESTER, IL 60154-5643
(708) 492-0520
Mailing address
2205 S WOLF RD, # 299, HILLSIDE, IL 60162-2212
(734) 945-1304

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036-119900
IL

Other

Enumeration date
07/30/2008
Last updated
07/30/2008
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