MICHAEL D. TARANTINO M.D. S.C. NPI 1740430784

NPI Information

  • NPI: 1740430784
  • Provider Name: MICHAEL D. TARANTINO, M.D. S.C.
  • Classification: Pediatrics - 2080P0207X
  • Specialization: Pediatric Hematology-Oncology
  • Entity Type: Organization
  • Address: 427 W NORTHMOOR RD
    PEORIA, IL
    ZIP 61614
  • Phone: (309) 692-5337

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NPI Details

MICHAEL D. TARANTINO, M.D. S.C. is a pediatric hematology-oncology pediatrics in Peoria, IL. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. MICHAEL D. TARANTINO, M.D. S.C. NPI is 1740430784. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

427 W NORTHMOOR RD
PEORIA, IL
ZIP 61614-542
Phone: (309) 692-5337
Fax: (309) 693-3913

The provider's authorized official is Michael D. Tarantino .
The authorized official title is Medical Director and has the following contact phone number (309) 370-6124.

The enumeration date for this NPI number is 9/26/2008 and was last updated on 7/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0207XPediatricsPediatric Hematology-OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17225372OTHERILLINOISBCBS OF IL
2398680716MEDICAIDILLINOIS
3P00096725OTHERRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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