Provider Demographics
NPI:1891978482
Name:O'CONNOR FOUNDATION
Entity Type:Organization
Organization Name:O'CONNOR FOUNDATION
Other - Org Name:NEXTSTEPS OF O'CONNOR FOUNDATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SUGGITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-467-0657
Mailing Address - Street 1:8434 CORCORAN RD
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60480-1666
Mailing Address - Country:US
Mailing Address - Phone:708-467-0657
Mailing Address - Fax:708-839-5608
Practice Address - Street 1:8434 CORCORAN RD
Practice Address - Street 2:
Practice Address - City:WILLOW SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60480-1666
Practice Address - Country:US
Practice Address - Phone:708-467-0657
Practice Address - Fax:708-839-5608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty