IndividualActive
Kenneth Jordan, DO
NPI 1710081708 · Family Medicine Physician · Pontiac, IL
Kenneth Jordan, DO is a Family Medicine Physician provider in Pontiac, IL (NPI 1710081708).
Provider details
- NPI number
- 1710081708
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 003036052185 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
520 West Madison Street
Madison Street Clinic PC
Pontiac, IL 61764
Phone: (815) 844-6106
Fax: (815) 842-2526
Street-level locationGet directions
Mailing address
520 West Madison
Pontiac, IL 61764
Registry dates
- Enumerated
- 2006-09-11
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kenneth Jordan's NPI number?
- Kenneth Jordan's National Provider Identifier (NPI) is 1710081708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Jordan's specialty?
- Kenneth Jordan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Jordan located?
- Kenneth Jordan's practice location on file with NPPES is 520 West Madison Street, Pontiac, IL 61764.
- What is Kenneth Jordan's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Jordan is (815) 844-6106.
- Is Kenneth Jordan's NPI active?
- Yes — Kenneth Jordan's NPI (1710081708) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.