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Dr. Michael D Tarantino, MD
Pediatric Hematology & Oncology Physician in Peoria, Illinois
NPI 1396731063

Michael D Tarantino is a Pediatric Hematology & Oncology Physician based in Peoria, IL and is specialized in Pediatric Hematology-Oncology. Michael D Tarantino practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Michael D Tarantino is 1396731063 and holds a License No. 29978 (Illinois).

The current practice location address for Michael D Tarantino is 427 W Northmoor Rd, Peoria, IL and can be reached out via phone at 309-692-5337 and via fax at 309-693-3913.

Location: 427 W Northmoor Rd, Peoria, IL, 61614-3542
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Provider Profile Details
NPI Number
1396731063
Provider Name
Michael D Tarantino
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
427 W Northmoor Rd, Peoria, IL, 61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
Provider Enumeration Date
09/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00096725 01 RAILROAD MEDICARE
64299787 01 KY KENTUCKY MEDICAID
7225372 01 IL BCBS OF IL
institution
Provider Business Practice Location Address Details
Address
427 W Northmoor Rd
City
State
Zip
61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
person
Provider Business Mailing Address Details
Address
427 W Northmoor Rd
City
State
Zip
61614-3542
Phone Number
309-692-5337
Fax Number
309-693-3913
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Hematology-Oncology
Taxonomy
License No.
29978 (Kentucky)
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
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