institution
Michael D. Tarantino, M.d. S.c.
Pediatric Hematology & Oncology Physician in Peoria, Illinois
NPI 1740430784

Michael D. Tarantino, M.d. S.c. is a Pediatric Hematology & Oncology Physician based in Washington, IL and is specialized in Pediatric Hematology-Oncology. Michael D. Tarantino, M.d. S.c. practices in Peoria, IL. The NPI Number for Michael D. Tarantino, M.d. S.c. is 1740430784 and holds a License No. (Illinois).

The current practice location address for Michael D. Tarantino, M.d. S.c. 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, 61571-9733
institution
Provider Profile Details
NPI Number
1740430784
Provider Name
Michael D. Tarantino, M.d. S.c.
Credential
Provider Entity Type
Organization
Address
427 W Northmoor Rd, Peoria, IL, 61571-9733
Phone Number
309-692-5337
Fax Number
309-693-3913
Provider Enumeration Date
09/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7225372 01 IL BCBS OF IL
P00096725 01 RAILROAD MEDICARE
398680716 05 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.
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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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