Dhanalakshmi P Ganesan MD, SC
Organization Active NPI Non-Pharmacy Dispensing Site · River Forest, IL
NPI 1093080640 · NPPES record last updated Mar 15, 2012
Key facts
- NPI
- 1093080640
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- DHANALAKSHMI P GANESAN MD, SC
- Practice address
- 7357 North Ave
River Forest, IL 60305-1230 - Phone
- (708) 405-6200
- NPI assigned
- Mar 15, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- DHANALAKSHMI P GANESAN MD, SC
Authorized official
- Name
- Dr. Dhana Ganesan, M.D.
- Title
- Medical Director
- Phone
- (708) 405-6200
Practitioners 1
-
Dhana L Ganesan, MD
National Provider Directory
- Part of
- Dhanalakshmi P Ganesan MDSC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
7357 North Ave
River Forest, IL 60305-1230
Mailing address
2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809
Other names
- Grand Medical Center
Other providers in River Forest, IL
- Karen Vanslyck Darley
- Lynda Kerstin De la Cotera
- Amy Allyssa Deegan
- Beatrice Defranco
- Dick J Derks
- Dhanalakshmi P. Ganesan M.D.S.C
- Dhanalakshmi P. Ganesan MD SC
- Dominican University Wellness Center
- Anna Dowd
- Molly Jane Downey
All providers in River Forest, IL · Non-Pharmacy Dispensing Site in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.