Organization
DHANALAKSHMI P. GANESAN M.D.S.C
Active
Parent organization
DHANALAKSHMI P. GANESAN M.D.S.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
DHANALAKSHMI P. GANESAN M.D.S.C
Authorized official
DR. DHANA L GANESAN M.D (PHYSICIAN)
(708) 405-6200
Entity
Organization
Contact information
Practice address
7357 NORTH AVE, RIVER FOREST, IL 60305-1230
(708) 405-6200
(708) 405-6223
Mailing address
7357 NORTH AVE, RIVER FOREST, IL 60305-1230
(708) 405-6200
(708) 405-6223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042-617802
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094637
—
IL
Enumeration date
12/15/2006
Last updated
11/14/2011
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