DHANALAKSHMI P. GANESAN MD SC (NPI# 1780904565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780904565 |
| Entity Type | Organization |
| Organization Name | DHANALAKSHMI P. GANESAN MD SC |
| Other Organization Name | GRAND-DUPAGE CLINIC |
| Practice Address |
7357 North Ave River Forest IL 60305-1230 |
| Mailing Address |
1200 S York Rd Ste 4150 Elmhurst IL 60126-5630 |
| Practice Telephone | 7084056200 |
| Practice Fax Number | 7084056223 |
| Mailing Telephone | 6306076206 |
| Mailing Fax Number | 7084056223 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2011-11-14 |
| Authorized Official Name | DR. DHANA L GANESAN (OWNER) |
| Authorized Official Telephone | 7084056200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | DHANALAKSHMI P GANESAN MD SC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
036094637 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036094637 | 05 |
| Other Name | Type Code |
|---|---|
| GRAND-DUPAGE CLINIC | Doing Business As Name - Organization |
| Street Address |
7357 NORTH AVE |
| City | RIVER FOREST |
| State | IL |
| Zip Code | 60305-1230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831114560 | Dhana L Ganesan | Internal Medicine | 7357 North Ave, River Forest, IL 60305-1230 | 2006-07-13 |
| 1952927899 | Joseph Edwards | Counselor | 7357 North Ave, River Forest, IL 60305-1230 | 2020-06-16 |
| 1093080640 | Dhanalakshmi P Ganesan Md, Sc | Non-Pharmacy Dispensing Site | 7357 North Ave, River Forest, IL 60305-1230 | 2012-03-15 |
| 1144382201 | Dhanalakshmi P. Ganesan M.d.s.c | Internal Medicine | 7357 North Ave, River Forest, IL 60305-1230 | 2006-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063969004 | Logan N Nierzwicki | Physical Therapist | 7341 A Lake St, River Forest, IL 60305 | 2016-09-07 |
| 1427442292 | Gina Patel | Physical Therapist | 7341a Lake St, River Forest, IL 60305 | 2015-03-19 |
| 1316369630 | Kristin Burns | Social Worker | 1115 Thatcher Ave, River Forest, IL 60305 | 2014-01-07 |
| 1508102823 | Elizabeth Ralyea | Nurse Practitioner | 7251 W Lake Street, River Forest, IL 60305 | 2012-12-13 |
| 1194009175 | Mani Chhibba | Optometrist | 7345 West Lake Street, River Forest, IL 60305 | 2011-10-07 |
| 1508069212 | Fatima Ali Hyder | Internal Medicine | 7343 Lake St, River Forest, IL 60305 | 2007-06-08 |
| 1932314069 | Karen Vanslyck Darley | Dentist | 340 Lathryn Ave, River Forest, IL 60305 | 2007-05-11 |
| 1083836571 | Lucelita Abad Duffy | Physical Therapist | 7411 Lake Street, Rehabilitation & Sports Medicine West Suburban Resurrec, River Forest, IL 60305 | 2007-05-03 |
| 1457484669 | Michelle Annette Melyn | Psychiatry & Neurology | 7777 West Lake St, River Forest, IL 60305 | 2007-03-14 |
| 1588797757 | Marie T Walsh | Dentist | 7765 W. North Ave., River Forest, IL 60305 | 2007-03-14 |
| Find all providers in zip 60305 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1437612405 | Voice of Reason Counseling, LLC | Clinic/Center | 6634 S Knox Ave, Chicago, IL 60629-5643 | 2019-04-08 |
| 1215499405 | Leading Physician Partners Aco LLC | Clinic/Center | 715 W Lake St Ste 202, Addison, IL 60101-2082 | 2019-04-05 |
| 1346708815 | Erin Conway, Psyd, PC | Clinic/Center | 444 S Rand Rd Ste 214, Lake Zurich, IL 60047-2307 | 2019-03-04 |
| 1891252078 | Essence Healthcare Services LLC | Clinic/Center | 10449 Venice Ln, Orland Park, IL 60467-8218 | 2019-02-25 |
| Find all providers with the same taxonomy | ||||
| City | RIVER FOREST |
| Zip Code | 60305 |
Please comment or provide details below to improve the information on DHANALAKSHMI P. GANESAN MD SC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.