KENNETH N JORDAN

PONTIAC, IL
NPI1710081708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  003036052185)
Enumeration Date2006-09-11
Last Update Date2007-07-08
Business Address
-- KENNETH N JORDAN DO
520 WEST MADISON STREET MADISON STREET CLINIC PC
PONTIAC, IL 61764
Phone number: 815-844-6106
Mailing Address
-- KENNETH N JORDAN DO
520 WEST MADISON
PONTIAC, IL 61764
Phone number: 815-844-6106
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