Individual
DR. MICHAEL D TARANTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
427 W NORTHMOOR RD, PEORIA, IL 61614-3542
(309) 692-5337
(309) 693-3913
Mailing address
427 W NORTHMOOR RD, PEORIA, IL 61614-3542
(309) 692-5337
(309) 693-3913
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
036-101239
IL
2080P0207X
Pediatric Hematology & Oncology Physician
29978
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64299787
KENTUCKY MEDICAID
KY
01
—
7225372
BCBS OF IL
IL
01
—
P00096725
RAILROAD MEDICARE
—
Enumeration date
09/27/2005
Last updated
07/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us