Doctor Name: | DR. JOHN C TRICOU |
NPI Number: | 1447228036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036-078029 |
Business Practice Address: | 200 E Fairman Ave Watseka, IL - 609701644 |
Business Phone Number: | 8154327728 |
Business Fax Number: | 8154327827 |
Mailing Address: | 200 E Fairman Ave, WATSEKA |
State: | IL |
Postal Code: | 609701644 |
Phone Number: | 8154327728 |
Fax Number: | 8154327827 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 09/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 036-078029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |