| 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 |
|---|---|
| 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 | |
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 | |
Wendy L Foster, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7411 Lake St, Ste L-120, River Forest, IL 60305 Phone: 708-488-1919 Fax: 708-488-2370 |