MICHAEL D. TARANTINO, M.D. S.C.
NPI 1740430784
Pediatrics - Pediatric Hematology-Oncology in Peoria, IL

Q: What is Michael D. Tarantino, M.D. S.C.'s NPI number?

The NPI number for Michael D. Tarantino, M.D. S.C. is 1740430784. It was assigned to this organization in the NPPES registry on September 26, 2008.

Q: What is Michael D. Tarantino, M.D. S.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Active since September 26, 2008

427 W NORTHMOOR RD, PEORIA, IL 61614(309) 692-5337(309) 693-3913 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2022, Jul 30, 2021, Jun 25, 2021 (3 updates tracked since 2021).

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About Michael D. Tarantino, M.d. S.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL D. TARANTINO, M.D. S.C. (NPI 1740430784) is a healthcare organization registered as a pediatric hematology-oncology in Peoria, Illinois and active in the NPI registry since September 2008. The organization lists Michael D. Tarantino, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1740430784

Entity TypeOrganization

Primary Taxonomy2080P0207X

Legal Business NameMICHAEL D. TARANTINO, M.D. S.C.

Location Address427 W NORTHMOOR RDPeoria, IL 61614-3542

Mailing Address2 Old Farm LnWashington, IL 61571-9733 · (309) 370-6124 · Fax (309) 693-3913

Phone(309) 692-5337

Fax(309) 693-3913

Organization SubpartNo

Authorized OfficialMichael D. TarantinoMedical Director · (309) 370-6124

Enumeration DateSeptember 26, 2008

Last NPPES UpdateJuly 15, 20223 updates tracked since enumeration

NPPES CertifiedJuly 15, 2022

✔ NPI 1740430784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

427 W NORTHMOOR RD, Peoria, IL 61614

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Other Identifiers 3

Other7225372IL · Bcbs Of Il

Medicaid398680716IL

OtherP00096725Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA ANN MARTIN FNP-BC

Nurse Practitioner (Family)