Organization · Type 2 NPI

Dhanalakshmi P Ganesan Md, SC

Non-Pharmacy Dispensing Site · River Forest, IL

NPI number 1093080640 Active

Practice location

7357 North Ave
River Forest, IL 60305-1230

Call (708) 405-6200 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

Taxonomy	Code	License
Non-Pharmacy Dispensing Site Primary	332900000X	None listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

8 other providers at this address

NPI record

NPI: 1093080640
Entity type: Organization (Type 2)
Issued: Mar 15, 2012
Last updated: Mar 15, 2012
Status: Active
Subpart: Yes of Dhanalakshmi P Ganesan Md, SC

Other names

<unavail>
Grand Medical Center · doing business as

Authorized official

Dr. Dhana Ganesan, MD
Medical Director
(708) 405-6200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093080640

Dhanalakshmi P Ganesan Md, SC's National Provider Identifier is 1093080640, issued on Mar 15, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in River Forest, IL. The record was last updated on Mar 15, 2012.