The Bleeding and Clotting Disorders Institute

NPI #1962783431 in Peoria, Illinois

Provider Information

NPI Number: 1962783431
Entity Type: Organization
Organization Name: The Bleeding and Clotting Disorders Institute
Primary Specialty: Pharmacy
Enumeration Date: Aug 29, 2011
Last Updated: Jul 30, 2021

Practice Location

Address: 427 W NORTHMOOR RD
City: Peoria
State: Illinois
ZIP Code: 61614-3542
Phone: (309) 692-5337

Authorized Official

Name: MICHAEL TARANTINO, M.D.
Title: MEDICAL DIRECTOR
Phone: (309) 692-5337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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