Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659759652 Individual Practitioner Male Practitioner

Dr. Phillip Michael O'connor , MD

General Practice • Kankakee, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Phillip O'Connor, MD is a certified General Practice practicing in Kankakee, IL. With approximately 12 years of clinical experience since completing medical education in 2014, Dr. O'Connor delivers high-quality medical care to the local community at 1240 WESTLAWN DR.

Dr. O'Connor is affiliated with Vivek Gupta, M.D., S.C. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1240 Westlawn Dr

Kankakee, IL 609014657

Telephone 8156937568
Associated Practice Facility / Clinic
🏢 Wound Kinetics L L C Facility NPI 1013755909

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Kankakee, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs Matches City Avg
City Avg: 12.0 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Kankakee, IL (355 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. O'connor (12 Years) 12 Yrs
Kankakee Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-16
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL 036152000

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Physical Medicine & Rehabilitation

NUCC Taxonomy Code: 208100000X

State License PA MT212023

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Vivek Gupta, M.d., S.c.

2720 W Division St, Chicago, IL 606222853

Phone: 7737727858

Secondary Practice Locations

60 Township Line Rd

Elkins Park, PA 190272220

Phone: 2156636000

82-68 164th Street

Jamaica, NY 11432

Phone: 7188834080

3401 N Broad St Lowr Level

Philadelphia, PA 191405103

Phone: 2157077020

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Physical Medicine & Rehabilitation (License #MT212023 in PA)

📍
Updated Practice Location June 03, 2024

Registered at 1240 WESTLAWN DR, KANKAKEE, IL 609014657 (Tel: 8156937568)

📍
Updated Business Mailing Address June 03, 2024

Registered at 1240 WESTLAWN DR, KANKAKEE, IL 609014657 (Tel: 8156937568)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active November 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2017

Registered at 3401 N BROAD ST LOWR LEVEL, PHILADELPHIA, PA 191405103 (Tel: 2157077020)

📍
Updated Business Mailing Address November 18, 2017

Registered at 2314 E CABOT ST, PHILADELPHIA, PA 191253616 (Tel: 8156937568)

👤
Provider Name / Credentials Updated November 18, 2017

Recorded as PHILLIP O'CONNOR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2017

Physical Medicine & Rehabilitation (License #MT212023 in PA)

NPI Profile Active May 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 11, 2015

Registered at 82-68 164TH STREET, JAMAICA, NY 11432 (Tel: 7188834080)

📍
Updated Business Mailing Address May 11, 2015

Registered at 82-68 164TH STREET, JAMAICA, NY 11432 (Tel: 7188834080)

👤
Provider Name / Credentials Updated May 11, 2015

Recorded as PHILLIP O'CONNOR, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659759652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2015
Last Update: June 16, 2025
Sole Proprietor: No

Mailing Address

1240 Westlawn Dr

Kankakee, IL 609014657

Phone: 8156937568

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.