Phillip Michael O'Connor, M.D.
NPI 1659759652ActiveIndividual· General Practice· Kankakee, IL
General Practice (M.D.) with Vivek Gupta, M.D., S.C. and 1 other group, practicing in Kankakee, Illinois. Enrolled in Medicare as practitioner - general practice.
Overview
| NPI | 1659759652 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 11, 2015 |
| Last updated in NPPES | Jun 16, 2025 |
| Certified by provider | Jun 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 036152000 | IL |
| Physical Medicine & Rehabilitation | 208100000X | MT212023 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (IL) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | General Practice |
| Secondary specialties | Physical Medicine And Rehabilitation |
Medical groups
- Vivek Gupta, M.D., S.C.Chicago, IL · 28 clinicians
- Wound Kinetics L L CDorr, MI · 2 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general practitioners in Kankakee
- 1417061193