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 provides Family Medicine Physician services 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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