JOHN C TRICOU MD LLC (NPI# 1023240470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023240470 |
| Entity Type | Organization |
| Organization Name | JOHN C TRICOU MD LLC |
| Practice Address |
200 E Fairman Ave Watseka IL 60970-1644 |
| Mailing Address |
9410 Compubill Dr Orland Park IL 60462-2627 |
| Practice Telephone | 8154325841 |
| Mailing Telephone | 7084607444 |
| Mailing Fax Number | 7084608662 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | DR. JOHN C TRICOU (PRESIDENT) |
| Authorized Official Telephone | 7084607444 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
036078029 | IL | Allopathic & Osteopathic Physicians |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
036078029 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036078029 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036078029 | 05 |
| Street Address |
200 E FAIRMAN AVE |
| City | WATSEKA |
| State | IL |
| Zip Code | 60970-1644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497748040 | Vijay Desai | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2005-08-30 |
| 1861015232 | Holly Isaac | Dietitian, Registered | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-05-20 |
| 1194357954 | Alliance Medical Partners, LLC | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-02-10 |
| 1891326286 | Illinois Bone and Joint Institute, LLC | Orthopaedic Surgery | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2020-02-04 |
| 1942857222 | Tracy Packer | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2019-08-21 |
| 1003396318 | Aaron Daniel Mccray | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2018-08-16 |
| 1144760836 | Rebecca Koerner | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2017-03-01 |
| 1083066674 | Iroquois Memorial Hospital | Surgery | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2016-07-07 |
| 1376929174 | Brotula Emergency Physicians LLC | Emergency Medicine | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2015-08-04 |
| 1093191173 | Amy Johandes | Nurse Practitioner | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2015-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189167 | Malinda S Mustered | Occupational Therapist | 825 S Belmont Ave, Watseka, IL 60970 | 2019-11-27 |
| 1558889188 | K-shayla Lafayette | Nurse Practitioner | 200 E. Fairman Ave., Watseka, IL 60970 | 2017-09-04 |
| 1144354879 | Pamela H. Beall | Counselor | 1801 N. State Route 1, Suite 2, Watseka, IL 60970 | 2007-03-15 |
| 1528111879 | Spine Clinics of America Sc | Chiropractor | 425 E. Walnut Street, Watseka, IL 60970 | 2007-01-19 |
| 1699833970 | Shakeel Sher Khan Sandozi | Surgery | 625 S Fifth Street, Watseka, IL 60970 | 2006-12-05 |
| 1790859866 | David Charles Nagele | Dentist | 130 N Littelfuse Ln, Suite 101, Watseka, IL 60970 | 2006-11-20 |
| 1942389259 | John M Rose | Dentist | 316 E Lincoln Ave, Watseka, IL 60970 | 2006-11-06 |
| 1952324279 | Bonita Jean Rajala | Counselor | 617 East Grant St., Watseka, IL 60970 | 2006-07-26 |
| 1396978177 | Allison Shindelar | Social Worker | 323 Wmulberry St, Watseka, IL 60970-0332 | 2009-08-27 |
| 1356441539 | Petersen Health Operations, LLC | Skilled Nursing Facility | 900 N Market St, Watseka, IL 60970-1048 | 2006-09-25 |
| Find all providers in zip 60970 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740469618 | Medical Consultants Ltd | Radiology | 641 E Grant St, Watseka, IL 60970-1812 | 2007-10-29 |
| 1447228036 | John C Tricou | Radiology | 200 E Fairman Ave, Watseka, IL 60970-1644 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376196220 | Parvathamma Imaging Services, LLC | Radiology | 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 | 2019-07-19 |
| 1730652017 | Diaspora Radiology, Sc | Radiology | 2602 Mulberry Ln, Northbrook, IL 60062-5937 | 2019-01-09 |
| 1225516842 | Tyler Jonathan Hinkel | Radiology | 33 W Ontario St Apt 46f, Chicago, IL 60654 | 2018-08-06 |
| 1043796543 | Quantum Medical Radiology of California, P.C. | Radiology | 374 W Seminary Ave, Wheaton, IL 60187-5002 | 2018-07-17 |
| 1215429501 | The Open Mri Center | Radiology | 3123 Williamson County Pkwy, Marion, IL 62959-5235 | 2018-06-01 |
| 1649769746 | Envision Medical Imaging, LLC | Radiology | 915 National Pkwy Ste 915-20, Schaumburg, IL 60173-5160 | 2018-05-03 |
| 1831687250 | Michael Patrick Murphy | Radiology | 807 Davis St. Unit 707, Evanston, IL 60201 | 2018-05-01 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1710427737 | Dorothea A Nazos | Radiology | 1810 Parkside Dr, Shorewood, IL 60404-0684 | 2017-02-24 |
| 1194275941 | Florida United Radiology, Lc | Radiology | 7 Pear Tree Ct, Charleston, IL 61920-4415 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.