KENNETH N JORDAN DO
NPI 1710081708
Family Medicine in Pontiac, IL

Q: What is Kenneth Jordan's NPI number?

The NPI number for Kenneth Jordan is 1710081708. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Q: What is Kenneth Jordan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Jordan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 11, 2006

520 WEST MADISON STREET, MADISON STREET CLINIC PC, PONTIAC, IL 61764(815) 844-6106(815) 842-2526 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kenneth N Jordan Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH N JORDAN DO (NPI 1710081708) is an individual family medicine provider in Pontiac, Illinois, licensed in Illinois (003036052185) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1710081708

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKENNETH N JORDANCredential: DO

Location Address520 WEST MADISON STREET, MADISON STREET CLINIC PCPontiac, IL 61764

Mailing Address520 West MadisonPontiac, IL 61764 · (815) 844-6106 · Fax (815) 842-2526

Phone(815) 844-6106

Fax(815) 842-2526

Sole ProprietorNo

Enumeration DateSeptember 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1710081708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 003036052185

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

520 WEST MADISON STREET, Pontiac, IL 61764

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Other Identifiers 3

Medicare UPINE14944

Medicare ID-Type Unspecified219130IL

Medicaid036052185IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Jordan's NPI number?

The NPI number for Kenneth Jordan is 1710081708. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Kenneth Jordan located?

Kenneth Jordan practices at 520 West Madison Street Madison Street Clinic PC, Pontiac, IL 61764. The listed phone number is (815) 844-6106.

What is Kenneth Jordan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Jordan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.