SearchIllinois213ES0103X

Scott O'Connor, D.P.M

NPI 1992792261 · on the registry since 2005 · sole proprietor

Practice

Address
1512 W Reynolds St Ste A
Pontiac, IL 61764
Phone
(815) 842-6551
Organisation at this address
Pro Podiatry, Llc
Premier Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 2501 E College Ave Ste C, Bloomington, IL

Registry record

Primary taxonomy
213ES0103X
213ES0103X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-02-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois