Dhanalakshmi P. Ganesan MD SC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

036094637 Issued in IL

Legal business name

DHANALAKSHMI P. GANESAN MD SC

Doing business as

Grand-Dupage Clinic

Practice address

7357 North Ave
River Forest, IL 60305-1230

Phone

(708) 405-6200

Fax

(708) 405-6223

NPI assigned

Jun 3, 2010

Last updated

Nov 14, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

DHANALAKSHMI P GANESAN MD SCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dhana L Ganesan, M.D.NPI 1831114560

Title

Owner

Phone

(708) 405-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GRAND-DUPAGE CLINIC Doing business as

Part of

Dhanalakshmi P Ganesan MD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dhana L Ganesan, MD

  • Internal Medicine Physician
  • River Forest, IL
  • NPI 1831114560
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1780904565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S YORK RD STE 4150",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265630",
            "telephone_number": "630-607-6206",
            "fax_number": "708-405-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7357 NORTH AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051230",
            "telephone_number": "708-405-6200",
            "fax_number": "708-405-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHANALAKSHMI P. GANESAN MD SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DHANALAKSHMI P GANESAN MD SC",
        "enumeration_date": "2010-06-03",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "GANESAN",
        "authorized_official_first_name": "DHANA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-405-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "036094637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094637",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND-DUPAGE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Allyssa Deegan, LCSW
• Beatrice Defranco, LMT
• Dick J Derks, PHARMD
• Dhanalakshmi P Ganesan MD, SC (Grand Medical Center)
• Dhanalakshmi P. Ganesan M.D.S.C
• Rutheva Dizon-Moore, MD
• Dominican University Wellness Center (Wellness Center)
• Anna Dowd, N.P.
• Molly Jane Downey, RDN
• Dr Heidi Schwartz PSYD & Assoc PC

• Health Service Clinic/Center in River Forest, IL
• Providers in River Forest, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.