Patricia A O'Connor, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-094505 Issued in IL

Practice address

12701 W 143Rd St
Homer Glen, IL 60491-7808

Phone

(708) 645-6400

Fax

(708) 645-6404

NPI assigned

Aug 18, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ms_pocon10@landmarkhealth-direct.org

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.

• O'Connor Medical LLC

  • Internal Medicine Physician
  • Homer Glen, IL
  • NPI 1548448681
  NPD Authorized official

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1780676403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12701 W 143RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917808",
            "telephone_number": "708-645-6400",
            "fax_number": "708-645-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12701 W 143RD ST",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604917808",
            "telephone_number": "708-645-6400",
            "fax_number": "708-645-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-094505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Alan Nichols, LCPC
• Ciara Rose Nichols, LPC, NCC
• Jaime Nystrom
• O'Connor Medical LLC
• Kelly O'Connor, OTR/L
• Colleen O'Hara, M.S. SLP-CCC/L
• Tahanie K Omar
• Omnicare Group, Inc
• Orland Pharmacy, Inc.
• Orthopedic Physical Therapy Services LLC

• Internal Medicine Physician in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.