Jackie M El-darazi
MICHAEL D. TARANTINO, M.D. S.C.


Address: 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Phone: 3096925337

Jackie M El-darazi (NPI# 1225571219, PAC ID# 0648553008) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1225571219
PAC ID by PECOS 0648553008
Professional Enrollment ID I20170208002365
Full Name Jackie M El-darazi
Organization Legal Name MICHAEL D. TARANTINO, M.D. S.C.
Address 9128 N Lindbergh Dr
Peoria
IL 61615-1422
Phone Number 3096925337
Gender F
Graduation Year 2016
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 6800950833
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
140067 OSF SAINT FRANCIS MEDICAL CENTER
140209 METHODIST MEDICAL CENTER OF ILLINOIS

Other Locations

Address Phone Organization
9128 N Lindbergh Dr, Peoria, IL 61615-1422 3096925337 MICHAEL D. TARANTINO, M.D. S.C.

Organization Information

Organization Legal Name MICHAEL D. TARANTINO, M.D. S.C.
Physicians 5

Physicians with the same organization

Name Specialty Organization Address
Amanda Miriam Kilgore Physical Therapy Michael D. Tarantino, M.d. S.c. 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Rohith Jesudas Pediatric Medicine Michael D. Tarantino, M.d. S.c. 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Elizabeth A Lepper Nurse Practitioner Michael D. Tarantino, M.d. S.c. 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Jonathan C Roberts Pediatric Medicine Michael D. Tarantino, M.d. S.c. 9128 N Lindbergh Dr, Peoria, IL 61615-1422

Office Location

Street Address 9128 N LINDBERGH DR
City PEORIA
State IL
Zip 61615-1422

Physicians in the same location

Name Specialty Organization Address
Amanda Miriam Kilgore Physical Therapy Michael D. Tarantino, M.d. S.c. 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Michael Dominic Tarantino Hematology/oncology 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Rohith Jesudas Pediatric Medicine Michael D. Tarantino, M.d. S.c. 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Elizabeth A Lepper Nurse Practitioner Michael D. Tarantino, M.d. S.c. 9128 N Lindbergh Dr, Peoria, IL 61615-1422
Jonathan C Roberts Pediatric Medicine Michael D. Tarantino, M.d. S.c. 9128 N Lindbergh Dr, Peoria, IL 61615-1422

Physicians in the same zip code

Name Specialty Organization Address
Jennifer N Thompson Ophthalmology Gailey Eye Clinic, Ltd 8800 N Orange Prairie, Peoria, IL 61615
Jeffrey Y Liang Internal Medicine Iowa Physicians Clinic Medical Foundation 10322 N Juliet Ct, Peoria, IL 61615-1199
Matthew Carr Nurse Practitioner Iowa Physicians Clinic Medical Foundation 8914 N Knoxville Ave, Peoria, IL 61615-1410
Abby G Freckleton Nurse Practitioner Iowa Physicians Clinic Medical Foundation 8914 N Knoxville Ave, Peoria, IL 61615-1410
Susannah Dintzis Nurse Practitioner Iowa Physicians Clinic Medical Foundation 8914 N Knoxville Ave, Peoria, IL 61615-1410
Michael J Pace Family Practice Methodist Medical Center of Illinois 8914 N Knoxville Ave, Peoria, IL 61615-1410
Whitney Hanlon Physical Therapy Rock Valley Physical Therapy Center 9901 N Knoxville Ave, Suite D, Peoria, IL 61615-1433
Jonathan L Acklie Physical Therapy Rock Valley Physical Therapy Center 9901 N Knoxville Ave, Suite D, Peoria, IL 61615-1433
Lacey Neal Physical Therapy Rock Valley Physical Therapy Center 9901 N Knoxville Ave, Suite D, Peoria, IL 61615-1433
Clara C Tostovarsnik Physical Therapy Rock Valley Physical Therapy Center 9901 N Knoxville Ave, Suite D, Peoria, IL 61615-1433
Find all physicians in zip 61615

Competitor

Search similar physicians

City PEORIA
Zip Code 61615
Specialty NURSE PRACTITIONER
City + Specialty PEORIA + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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