Individual provider Active NPI

Nicholas Fusheng Oconnor, PA-S2

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1609776350
Registry record updated Nov 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1521 W Sherwin Ave Apt 304
Chicago, IL 60626-2115
Phone
(917) 783-9078
NPI assigned
Nov 6, 2026
Last updated
Nov 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Primary

Addresses

Primary practice location

1521 W Sherwin Ave Apt 304
Chicago, IL 60626-2115

Mailing address

1521 W Sherwin Ave Apt 304
Chicago, IL 60626-2115
Phone (917) 783-9078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793923200000",
    "number": "1609776350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 W SHERWIN AVE APT 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262115",
            "telephone_number": "917-783-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W SHERWIN AVE APT 304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606262115",
            "telephone_number": "917-783-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "NICHOLAS",
        "middle_name": "FUSHENG",
        "name_prefix": "Mr.",
        "credential": "PA-S2",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-11-06",
        "last_updated": "2026-11-06",
        "certification_date": "2026-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.