Michael D. Tarantino, M.d. S.c.
Pediatric Hematology-Oncology
Michael D. Tarantino, M.d. S.c. is a Peoria, Illinois based Pediatric center with medical specialization in
Pediatric Hematology-Oncology.
It is located at
427 W Northmoor Rd, Peoria, Illinois - 61614-3542. They can be contacted on phone at
309-692-5337 and fax number 309-693-3913.
NPI number (Unique professional ID) for Michael D. Tarantino, M.d. S.c. is
1740430784 which was assigned by NPPES on 26 Sep, 2008 and it was last updated on 15 Jul, 2022.
Michael D. Tarantino, M.d. S.c. is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Michael D. Tarantino, M.d. S.c. basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Michael D. Tarantino, M.d. S.c. |
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Business Address:
Michael D. Tarantino, M.d. S.c. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 427 W Northmoor Rd
Peoria, IL, 61614-3542
United States |
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| Phone Number : | 309-692-5337 |
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| Fax Number : | 309-693-3913 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740430784 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 26 Sep, 2008 |
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| Last Updated On : | 15 Jul, 2022 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Michaeld. Tarantino |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | MEDICAL DIRECTOR |
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| Phone Number : | 309-370-6124 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael D. Tarantino, M.d. S.c. are as mentioned. Primary taxonomy code for Michael D. Tarantino, M.d. S.c. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Michael D. Tarantino, M.d. S.c. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 7225372 | Other | IL | BCBS OF IL |
| 398680716 | MEDICAID | IL | |
| P00096725 | Other | | RAILROAD MEDICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2 Old Farm Ln
Washington, IL, 61571-9733
United States |
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| Phone Number : | 309-370-6124 |
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| Fax Number : | 309-693-3913 |
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Business Location:
Patients can refer following map for directions to
Michael D. Tarantino, M.d. S.c. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.