Individual provider Active NPI

Jennifer Jean Connor, MD

  • Orthopaedic Surgery Physician
  • Chicago, IL
National Provider Identifier
1609070127
Registry record updated Dec 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
125048049 Issued in IL
Practice address
5616 N Western Ave
Chicago, IL 60659-5113
Phone
(773) 878-6233
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 125048049 IL Primary

Addresses

Primary practice location

5616 N Western Ave
Chicago, IL 60659-5113

Mailing address

5616 N Western Ave
Chicago, IL 60659-5113
Phone (773) 878-6233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220001146 IL Practitioner - Orthopedic Surgery 9739347998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Rush Medical College of Rush University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopaedic and Rehabilitation Centers SCGroup PAC ID 3375593957, 6 clinicians

Practice addresses (Care Compare)

5616 N Western Ave
Chicago, IL 60659-5113
Phone (773) 694-6233

Hospital & facility affiliations

  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Presence Saint Joseph Hospital - Chicago Hospital, Chicago, IL, CCN 140224
  • Presence Saints Mary and Elizabeth Medical Center Hospital, Chicago, IL, CCN 140180

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue12
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125048049ILMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic and Rehabilitation Centers SC Orthopaedic Surgery CurrentSince Dec 18, 2011 Accepting new patients

Locations

32705 Collection Ctr Dr
Chicago, IL 60693

5616 N Western Ave
Chicago, IL 60659
Phone (312) 878-6233

1431 N Western Ave
Ste 510
Chicago, IL 60622
Phone (312) 633-5866

Interoperability endpoints

  • Direct secure messaging: jennifer.connor@1381.chartlogic.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293235200000",
    "number": "1609070127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595113",
            "telephone_number": "773-878-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606595113",
            "telephone_number": "773-878-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "JENNIFER",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2010-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "125048049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.