NPI 1093080640
Dhanalakshmi P Ganesan MD, Sc
Practice location
- Address
- 7357 North Ave, River Forest, IL 60305-1230
- Phone
- (708) 405-6200
- Mailing address
- 2980 N Beverly Glen Cir Suite 301, Los Angeles, CA 90077-1726
Authorised official
- Name
- Dhana Ganesan
- Title
- Medical Director
- Phone
- (708) 405-6200
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1093080640
- Entity type
- Organization
- NPI issued
- 15 Mar 2012
- Record last updated
- 15 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.