Individual ProviderWilliam O'ConnorPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3132 Old Jacksonville Rd, Suite 140, Springfield, IL 62704-7400(217) 862-0400(217) 787-6910PECOS EnrollmentBased on the most recent information from CMS, provider William O'Connor does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1790827368Provider TypeIndividualFull NameO'Connor, WilliamCredentialPTGenderMaleSole ProprietorNoEnumeration Date2/12/2007Last Updated9/7/2023Contact InformationPractice LocationPractice Address3132 Old Jacksonville Rd, Suite 140, Springfield, IL 62704-7400Phone(217) 862-0400FaxUnlisted FaxMailing LocationMailing Address1 Cheyenne Dr, Springfield, IL 62711-8133Phone(217) 787-6910FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinois