# TRI CITY RADIOLOGY S.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326143793
- **Authorized official:** DR. JOSEPH M PERSAK M.D. (DIRECTOR)
- **Authorized official phone:** (630) 208-4412

## Contact information

- **Practice address:** 300 RANDALL RD, GENEVA, IL 60134-4200
- **Practice address phone:** (630) 208-3000
- **Mailing address:** 825 W STATE ST, SUITE 103E, GENEVA, IL 60134-2080
- **Mailing address phone:** (630) 208-4412
- **Mailing address fax:** (630) 208-0201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085B0100X | Body Imaging Physician | — | NULL | — |
| 2085B0100X | Body Imaging Physician | — | — | — |
| 2085N0904X | Nuclear Radiology Physician | — | NULL | — |
| 2085N0904X | Nuclear Radiology Physician | — | — | — |
| 2085P0229X | Pediatric Radiology Physician | — | NULL | — |
| 2085P0229X | Pediatric Radiology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0203X | Therapeutic Radiology Physician | — | NULL | — |
| 2085R0203X | Therapeutic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | Yes |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2006
- **Last updated:** 09/11/2025