| Kenneth N Jordan, DO | |
|
520 West Madison Street, Madison Street Clinic Pc, Pontiac, IL 61764 | |
| (815) 844-6106 | |
| (815) 842-2526 |
| Full Name | Kenneth N Jordan |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 520 West Madison Street, Pontiac, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710081708 | NPI | - | NPPES |
| 036052185 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 003036052185 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth N Jordan, DO 520 West Madison, Pontiac, IL 61764 Ph: (815) 844-6106 | Kenneth N Jordan, DO 520 West Madison Street, Madison Street Clinic Pc, Pontiac, IL 61764 Ph: (815) 844-6106 |
Gregorio Manuel Manabat, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1504 W Reynolds St, Ste C, Pontiac, IL 61764 Phone: 815-842-2893 Fax: 815-844-5960 | |
Andrew Wherley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-2001 Fax: 815-842-6803 | |
Dr. Steven S. Norris, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 | |
Angelito Fernandez, Family Medicine Medicare: Medicare Enrolled Practice Location: 1506 W Reynolds St, Pontiac, IL 61764 Phone: 815-844-6123 Fax: 815-884-7851 | |
John C Purnell, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 401 E Water St, Pontiac, IL 61764 Phone: 815-842-1166 Fax: 815-844-5968 | |
Dawn Lemmert, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 W Reynolds St, Pontiac, IL 61764 Phone: 815-842-3633 Fax: 815-844-6309 |