Ganesan, Dhana L
Ganesan, Dhana L is an sole proprietor health care provider with primary practice located at 7357 North Ave , River Forest IL 60305-1230. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Ganesan, Dhana L can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036094637 | Illinois |
Profile Details
| NPI number | 1831114560 |
|---|---|
| LBN Legal business name | Ganesan, Dhana L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Nov 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831114560 | NPPES |
| Illinois | MEDICAID | 036094637 |
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