Dhanalakshmi P. Ganesan M.D.S.C
Organization Active NPI Internal Medicine Physician · River Forest, IL
NPI 1144382201 · NPPES record last updated Nov 14, 2011
Key facts
- NPI
- 1144382201
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 042-617802 (IL)
- Legal business name
- DHANALAKSHMI P. GANESAN M.D.S.C
- Practice address
- 7357 North Ave
River Forest, IL 60305-1230 - Phone
- (708) 405-6200
- Fax
- (708) 405-6223
- NPI assigned
- Dec 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- DHANALAKSHMI P. GANESAN M.D.S.C
Authorized official
- Name
- Dr. Dhana L Ganesan, M.D
- Title
- Physician
- Phone
- (708) 405-6200
Practitioners 6
-
Sarah Marie Alderman, M.D.
-
Rada Ivanov, M.D.
-
Thomas Eugene Liao, M.D.
-
Karen L Reeves, PA
-
Ved P Yadava, MD
-
Sunil C Kolli, M.D.
National Provider Directory
- Part of
- Dhanalakshmi P Ganesan MDSC
Locations
11714 S Western Ave
Chicago, IL 60643
Phone (708) 456-7071
7239 W Grand Ave
Elmwood Park, IL 60707
Phone (708) 453-3464
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 042-617802 | IL | Yes |
Addresses
Primary practice location
7357 North Ave
River Forest, IL 60305-1230
Mailing address
7357 North Ave
River Forest, IL 60305-1230
Phone (708) 405-6200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036094637 | Medicaid | IL |
Other providers in River Forest, IL
- Lynda Kerstin De la Cotera
- Amy Allyssa Deegan
- Beatrice Defranco
- Dick J Derks
- Dhanalakshmi P Ganesan MD, SC
- Dhanalakshmi P. Ganesan MD SC
- Dominican University Wellness Center
- Anna Dowd
- Molly Jane Downey
- Dr Heidi Schwartz PSYD & Assoc PC
All providers in River Forest, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2011. 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.