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
Entity Type: Organization

Specialization: Pediatric Hematology-Oncology

Address:
427 W NORTHMOOR RD
PEORIA, IL
ZIP 61614
Phone: (309) 692-5337
Get Directions

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
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology			Yes

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
1	7225372	OTHER	ILLINOIS	BCBS OF IL
2	398680716	MEDICAID	ILLINOIS
3	P00096725	OTHER		RAILROAD 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: 4/28/2024

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