Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Street Clinic PC

Organization Family Medicine Physician · NPI 1518189786

Madison Street Clinic PC is a Family Medicine Physician in Pontiac, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 W Madison St
Pontiac, IL 61764-1729
Phone: (815) 844-6106
Fax: (815) 842-2526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (IL)

Record details

NPI number1518189786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Heins — President · (815) 844-6106
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address520 W Madison St, Pontiac, IL 61764-1729

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