Dr Dhana L Ganesan, MD | |
7357 North Ave, River Forest, IL 60305-1230 | |
(708) 405-6200 | |
(708) 405-6223 |
Full Name | Dr Dhana L Ganesan |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 7357 North Ave, River Forest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831114560 | NPI | - | NPPES |
036094637 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036094637 (Illinois) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Dhana L Ganesan, MD 7357 North Ave, River Forest, IL 60305-1230 Ph: (708) 405-6200 | Dr Dhana L Ganesan, MD 7357 North Ave, River Forest, IL 60305-1230 Ph: (708) 405-6200 |
Dr. Carlos Manuel Reynes, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 7756 Madison St, Suite 8, River Forest, IL 60305 Phone: 708-771-3471 Fax: 708-771-2553 | |
Dr. Henry Joseph Ruder, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 411 Lathrop Ave Unit 3e, River Forest, IL 60305 Phone: 708-542-9359 Fax: 708-575-0882 | |
Dr. William J Sarantos, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7353 North Ave, River Forest, IL 60305 Phone: 708-771-6611 Fax: 708-771-6335 | |
Asad A Bakir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7605 1/2 North Ave, River Forest, IL 60305 Phone: 708-366-4888 Fax: 708-366-7510 | |
Dr. Isoken Koko, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7420 W Central, Center For Cancer Care, River Forest, IL 60305 Phone: 708-763-2700 Fax: 708-488-9660 | |
Sheba Chiplunkar, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7411 Lake St, Suite 1120 Bldg A, River Forest, IL 60305 Phone: 708-345-3076 Fax: 708-345-9984 | |
Teresa Mckenzie, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7605 1/2 North Ave, River Forest, IL 60305 Phone: 708-366-4888 Fax: 708-366-7510 |