Individual
PRAVEENA TATHINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
120 SPALDING DR STE 308, NAPERVILLE, IL 60540-6521
(630) 646-2273
Mailing address
233 E 13TH ST APT 2103, CHICAGO, IL 60605-3260
(718) 213-8917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1386131720
IL
207RH0003X
Hematology & Oncology Physician
Primary
036.156225
IL
Other
Enumeration date
04/20/2018
Last updated
06/17/2024
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