Organization Active NPI

Triad Radiology & Imaging, LTD.

  • Diagnostic Radiology Physician
  • Morton Grove, IL
National Provider Identifier
1861523607
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRIAD RADIOLOGY & IMAGING, LTD.
Practice address
9000 Waukegan Rd
Morton Grove, IL 60053-2127
Phone
(847) 213-2700
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Timothy M. Cottoer, MD
Title
President
Phone
(847) 213-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

9000 Waukegan Rd
Morton Grove, IL 60053-2127

Mailing address

9000 Waukegan Rd
Morton Grove, IL 60053-2127
Phone (847) 213-2700

National Provider Directory

National Provider Directory

Locations

224 E Ontario St
Chicago, IL 60611
Phone (312) 440-0016

1710 N Randall Rd
Ste 333
Elgin, IL 60123
Phone (312) 930-6990

6957 Olde CRK Rd
Ste 4100
Rockford, IL 61114
Phone (815) 636-2244

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1861523607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532127",
            "telephone_number": "847-213-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532127",
            "telephone_number": "847-213-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD RADIOLOGY & IMAGING, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "COTTOER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-213-2700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.