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Dr. Jordan William Pontius, DC,ATC
Chiropractor in Freeport, Illinois
NPI 1508365115

Jordan William Pontius is a Chiropractor based in Freeport, IL. Jordan William Pontius practices in Freeport, IL and has the professional credentials of DC,ATC. The NPI Number for Jordan William Pontius is 1508365115 and holds a License No. 038.013188 (Illinois).

The current practice location address for Jordan William Pontius is 630 Terra West Dr, Freeport, IL and can be reached out via phone at 815-235-7858 and via fax at 815-235-7913.

Location: 630 Terra West Dr, Freeport, IL, 61032-2914
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508365115
Provider Name
Jordan William Pontius
Credential
DC,ATC
Provider Entity Type
Individual
Gender
Male
Address
630 Terra West Dr, Freeport, IL, 61032-2914
Phone Number
815-235-7858
Fax Number
815-235-7913
Provider Enumeration Date
02/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
765879632 01 IL BCBS
6217986 01 IL AENTA
institution
Provider Business Practice Location Address Details
Address
630 Terra West Dr
City
Freeport
State
Illinois
Zip
61032
Phone Number
815-235-7858
Fax Number
815-235-7913
person
Provider Business Mailing Address Details
Address
630 Terra West Dr
City
Freeport
State
Illinois
Zip
61032
Phone Number
815-235-7858
Fax Number
815-235-7913
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038.013188 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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