John C Tricou MD LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036078029 Issued in IL

Legal business name

JOHN C TRICOU MD LLC

Practice address

200 E Fairman Ave
Watseka, IL 60970-1644

Phone

(815) 432-5841

NPI assigned

Aug 19, 2009

Last updated

Mar 27, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John C Tricou, M.DNPI 1447228036

Title

President

Phone

(708) 460-7444

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John C Tricou, M.D.

  • Diagnostic Radiology Physician
  • Watseka, IL
  • NPI 1447228036
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1023240470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 COMPUBILL DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622627",
            "telephone_number": "708-460-7444",
            "fax_number": "708-460-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E FAIRMAN AVE",
            "city": "WATSEKA",
            "state": "IL",
            "postal_code": "609701644",
            "telephone_number": "815-432-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C TRICOU MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "TRICOU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-460-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "IL",
            "license": "036078029",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036078029",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "IL",
            "license": "036078029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078029",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iroquois Memorial Hospital and Resident Home
• Iroquois Memorial Hospital and Resident Home
• Iroquois Mental Health Center
• Iroquois Mental Health Center
• Iroquois Surgical LTD
• Anna Johnson
• Mary Johnson
• William Edward Johnston II, MSW, ACSW, LCSW
• Diana L Kaufman, APN
• Linda Kendziorek

• Diagnostic Radiology Physician in Watseka, IL
• Providers in Watseka, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.