Individual
PHILLIP MICHAEL O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1240 WESTLAWN DR, KANKAKEE, IL 60901-4657
(815) 693-7568
Mailing address
1240 WESTLAWN DR, KANKAKEE, IL 60901-4657
(815) 693-7568
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
MT212023
PA
208D00000X
General Practice Physician
Primary
036152000
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2015
Last updated
06/16/2025
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