# DHANALAKSHMI P. GANESAN M.D.S.C

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DHANALAKSHMI P. GANESAN M.D.S.C
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144382201
- **Legal business name:** DHANALAKSHMI P. GANESAN M.D.S.C
- **Authorized official:** DR. DHANA L GANESAN M.D (PHYSICIAN)
- **Authorized official phone:** (708) 405-6200

## Contact information

- **Practice address:** 7357 NORTH AVE, RIVER FOREST, IL 60305-1230
- **Practice address phone:** (708) 405-6200
- **Practice address fax:** (708) 405-6223
- **Mailing address:** 7357 NORTH AVE, RIVER FOREST, IL 60305-1230
- **Mailing address phone:** (708) 405-6200
- **Mailing address fax:** (708) 405-6223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 042-617802 | IL | Yes |

## Other

- **Enumeration date:** 12/15/2006
- **Last updated:** 11/14/2011