DHANALAKSHMI P GANESAN MD, SC

RIVER FOREST, IL
NPI1093080640
Doing Business AsGRAND MEDICAL CENTER
Entity TypeOrganization
Authorized ContactDHANA GANESAN
Medical Director
708-405-6200
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2012-03-15
Last Update Date2012-03-15
Business Address
DHANALAKSHMI P GANESAN MD, SC
7357 NORTH AVE
RIVER FOREST, IL 60305-1230
Phone number: 708-405-6200
Mailing Address
DHANALAKSHMI P GANESAN MD, SC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809