Individual
JAFAR SYED HASAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5201 S. WILLOW SPRINGS RD,, SUITE 290, LA GRANGE, IL 60559
(734) 945-1579
Mailing address
4 E OGDEN AVE # 143, WESTMONT, IL 60559-3506
(734) 945-1579
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036.119900
IL
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
036.119900
IL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
036.119900
IL
Other
Enumeration date
04/06/2007
Last updated
04/29/2025
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