PHILLIP MICHAEL O'CONNOR M.D.
NPI 1659759652
General Practice in Kankakee, IL

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment
1240 WESTLAWN DR, KANKAKEE, IL 60901(815) 693-7568 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Jun 3, 2024, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Phillip Michael O'connor M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP MICHAEL O'CONNOR M.D. (NPI 1659759652) is an individual general practice provider in Kankakee, Illinois, licensed in Illinois (036152000) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1659759652
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NamePHILLIP MICHAEL O'CONNORCredential: M.D.
Location Address1240 WESTLAWN DRKankakee, IL 60901-4657
Mailing Address1240 Westlawn DrKankakee, IL 60901-4657 · (815) 693-7568
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 11, 2015
Last NPPES UpdateJune 16, 20254 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
NPI 1659759652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IL · 036152000
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License MT212023 (PA)
1240 WESTLAWN DR, Kankakee, IL 60901

Secondary Practice Locations 3

Location 160 Township Line RdElkins Park, PA 19027-2220 · Phone (215) 663-6000
Location 282-68 164th StreetJamaica, NY 11432 · Phone (718) 883-4080
Location 33401 N Broad St Lowr LevelPhiladelphia, PA 19140-5103 · Phone (215) 707-7020

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phillip Michael O'connor M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618415613
PECOS Enrollment IDI20240821000575
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
1240 WESTLAWN DR
KANKAKEE, IL 60901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip O'connor's NPI number?

The NPI number for Phillip O'connor is 1659759652. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Phillip O'connor located?

Phillip O'connor practices at 1240 Westlawn Dr, Kankakee, IL 60901. The listed phone number is (815) 693-7568.

What is Phillip O'connor's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Phillip O'connor enrolled in Medicare?

Yes. Phillip O'connor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Phillip O'connor was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.