Michael D Tarantino in Peoria - Pediatric Hematology-oncology
Michael D Tarantino - NPI 1396731063
Michael D Tarantino is a Pediatric Hematology-oncology in Peoria, Illinois. Michael D Tarantino practices all healthcare services and medical treatments related to Pediatric Hematology-oncology. The NPI Number for Michael D Tarantino is 1396731063. The last update date is 2021-07-30.
Michael D Tarantino's current location address is 427 W Northmoor Rd, Peoria, Illinois. You can contact this provider via phone number 3096925337 and fax number 3096933913. The mailing address for Michael D Tarantino is 427 W Northmoor Rd, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael D Tarantino |
|---|---|
| Address | 427 W Northmoor Rd, Peoria, Illinois |
| Phone Number | 3096925337 |
| Fax Number | 3096933913 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1396731063 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2021-07-30 |
Provider Mailing Address Detail
| Address | 427 W Northmoor Rd |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616143542 |
| Phone Number | 3096925337 |
| Fax Number | 3096933913 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Hematology-oncology |
|---|---|
| Taxonomy | 2080P0207X |
| Licence No | 29978 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00096725 | RAILROAD MEDICARE | ||
| 64299787 | KY | KENTUCKY MEDICAID | |
| 7225372 | IL | BCBS OF IL |
Post Comment/ Review Below
What is the unique provider identifier assigned to Michael D Tarantino?
The Michael D Tarantino has been issued the NPI (National Provider Identifier) 1396731063 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Michael D Tarantino's physical address?
The Michael D Tarantino is physically located at 427 W Northmoor Rd, in the city of Peoria, IL, with the postal code 616143542.
What is Michael D Tarantino's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael D Tarantino is Pediatric Hematology-oncology, and the taxonomy code that categorizes this field of expertise is 2080P0207X.
When was the Michael D Tarantino's 1396731063 issued?
The Michael D Tarantino's 1396731063 was issued on 2005-09-27.
As of what date was the information regarding Michael D Tarantino, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Michael D Tarantino, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-07-30.