Grand-Dupage Clinic

LBN: Dhanalakshmi P. Ganesan Md Sc
Grand-Dupage Clinic is an health care organization with primary practice located at 7357 North Ave , River Forest IL 60305-1230. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Dhanalakshmi P. Ganesan Md Sc can be contacted via phone (708) 405-6200, or through Ganesan, Dhana L via phone (708) 405-6200.

Contact Information

Primary practice address
7357 North Ave River Forest IL 60305-1230
Phone: (708) 405-6200
Fax: (708) 405-6223
Website:
Map and Directions
Authorized official contact:
Name: Ganesan, Dhana L Doctor of Medicine (MD)
Phone: (708) 405-6200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 036094637 Illinois

Profile Details

NPI number 1780904565
LBN Legal business name Dhanalakshmi P. Ganesan Md Sc
DBA Doing business as Grand-Dupage Clinic
Authorized official Ganesan, Dhana L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 3rd, 2010
Last updated Nov 14th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780904565 NPPES
Illinois MEDICAID 036094637

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