OrganizationActive
Dhanalakshmi P Ganesan MD, Sc
NPI 1093080640 · Non-Pharmacy Dispensing Site · River Forest, IL
Provider details
- NPI number
- 1093080640
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Dhanalakshmi P Ganesan MD, Sc
- Organization subpart
- Yes
- Authorized official
- Dhana Ganesan, Medical Director(708) 405-6200
Specialties & taxonomies
Suppliers
Practice location
7357 North Ave
River Forest, IL 60305-1230
Phone: (708) 405-6200
Approximate (ZIP-level) locationGet directions
Mailing address
2980 N Beverly Glen Cir
Los Angeles, CA 90077-1726
Other names (DBA / former)
- Doing business as
- Grand Medical Center
Registry dates
- Enumerated
- 2012-03-15
- Last updated
- 2012-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.