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Organization

MICHAEL D. TARANTINO, M.D. S.C.

Active
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Organization

MICHAEL D. TARANTINO, M.D. S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL D. TARANTINO M.D. (MEDICAL DIRECTOR)
(309) 370-6124
Entity
Organization

Contact information

Practice address
427 W NORTHMOOR RD, PEORIA, IL 61614-3542
(309) 692-5337
(309) 693-3913
Mailing address
2 OLD FARM LN, WASHINGTON, IL 61571-9733
(309) 370-6124
(309) 693-3913

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—

Other

Enumeration date
09/26/2008
Last updated
07/15/2022
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