| Dr Michael D Tarantino, MD | |
| 427 W Northmoor Rd, Peoria, IL 61614-3542 | |
| (309) 692-5337 | |
| (309) 693-3913 | 
| Full Name | Dr Michael D Tarantino | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 427 W Northmoor Rd, Peoria, Illinois | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1396731063 | NPI | - | NPPES | 
| P00096725 | Other | RAILROAD MEDICARE | |
| 64299787 | Other | KY | KENTUCKY MEDICAID | 
| 7225372 | Other | IL | BCBS OF IL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 29978 (Kentucky) | Secondary | 
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 036-101239 (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Michael D Tarantino, MD 427 W Northmoor Rd, Peoria, IL 61614-3542 Ph: (309) 692-5337 | Dr Michael D Tarantino, MD 427 W Northmoor Rd, Peoria, IL 61614-3542 Ph: (309) 692-5337 | 
| Thomas James Mcmorrow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602 | |
| Jessica Ford-davis, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2274 | |
| Kelsey Elizabeth Grimes, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2000 | |
| Jessica N Mistretta, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 8600 State Route 91 Ste 200, Peoria, IL 61615 Phone: 309-692-1030 Fax: 309-691-3241 | |
| Mrs. Valeria Claudia Benavides Lopez, M.D., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-3313 | |
| Dr. Gretchen L Kopec, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-624-0615 | |
| Dr. Patrick Joseph Rizzuto Iii, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-671-3000 |