John C Tricou Md Llc

LBN: John C Tricou Md Llc
John C Tricou Md Llc is an health care organization with primary practice located at 200 E Fairman Ave , Watseka IL 60970-1644. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty. John C Tricou Md Llc can be contacted via phone (815) 432-5841, or through Tricou, John C via phone (708) 460-7444.

Contact Information

Primary practice address
200 E Fairman Ave Watseka IL 60970-1644
Phone: (815) 432-5841
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tricou, John C Doctor of Medicine (MD)
Phone: (708) 460-7444

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 036078029 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036078029 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X 036078029 Illinois

Profile Details

NPI number 1023240470
LBN Legal business name John C Tricou Md Llc
DBA Doing business as
Authorized official Tricou, John C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2009
Last updated Mar 27th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023240470 NPPES
Illinois MEDICAID 036078029

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