Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DANIEL M PROVENCHER, PA-C
ActiveDANIEL M PROVENCHER, PA-C is a Medical Physician Assistant healthcare provider located in HINSDALE, Illinois. NPI 1053426965 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · HINSDALE, IL
Registration Details
- NPI Number
- 1053426965
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 20, 2006 (20.030701301238 yrs)
- Last Updated
- Jan 12, 2012
- License
-
085001850 (IL)
Practice Information
- Address
-
911 N ELM STSUITE 128HINSDALE, IL, 605213640Browse IL providers · Browse ZIP 60521
- Phone
- 6307892260
- Fax
- 6307891584
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in HINSDALE, IL
| Name | Credential | NPI |
|---|---|---|
| ANDREA IRENE RUTHERFORD | PA | 1720056229 |
| CHARINNE THOMMEN | PA-C | 1073608865 |
| KARA M. OZOG | PA | 1972668077 |
| MRS. HEATHER MARIE HIMES | PA-C | 1851620868 |
| MRS. YOON YOUNG CHOI | PA | 1417266586 |
| SARA BETH GOSSETT | PA-C | 1275965329 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.