Organization
DHANALAKSHMI P. GANESAN M.D.S.C
Active
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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