KENNETH JORDAN, DO
Family Medicine
Active
Individual
NPI: 1710081708
Practice Address
520 WEST MADISON STREETMADISON STREET CLINIC PC
Pontiac, IL 61764
Phone: (815) 844-6106
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 003036052185 (IL) |
Frequently Asked Questions
NPI 1710081708 is the National Provider Identifier for KENNETH JORDAN, DO, a Family Medicine provider located in Pontiac, IL. This NPI was enumerated on September 11, 2006.
KENNETH JORDAN, DO practices at 520 WEST MADISON STREET, MADISON STREET CLINIC PC, Pontiac, IL 61764.
Quick Facts
- NPI
- 1710081708
- Type
- Individual
- Enumerated
- Sep 11, 2006
- Last Updated
- Jul 8, 2007
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