Individual
DR. SUVEER B TATINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 N HIGHLAND AVE, PROVENA MERCY MEDICAL CENTER/RADIOLOGY DEPARTMENT, AURORA, IL 60506-1449
(630) 859-2222
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036109305
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036109305
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0451514334
BLUESHIELD PROVIDER#
IL
Enumeration date
06/22/2006
Last updated
10/20/2025
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