DANIEL M PROVENCHER (PA-C) – Medical Physician Assistant, NPI 1053426965

DANIEL M PROVENCHER (PA-C) is a healthcare provider. based in Hinsdale, Illinois. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 085001850 (IL). The NPI Number for DANIEL M PROVENCHER (PA-C) is 1053426965

Main info

Male
Name
DANIEL M PROVENCHER (PA-C)
NPI
1053426965
Phone
(630) 789-2260
Address
911 N ELM ST
Enumeration Date
20 August 2006
Last Update Date
12 January 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DANIEL M PROVENCHER (PA-C)

  • 911, North Elm Street, Fullersburg, Hinsdale, DuPage County, Illinois, 60521, United States

    SUITE 128

    HINSDALE, IL 605213640

    Phone: (630) 789-2260

    Fax: (630) 789-1584

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60521)

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Reviews

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Frequently asked questions

What identifier follows DANIEL M PROVENCHER (PA-C) across health systems?
The NPI 1053426965 uniquely identifies DANIEL M PROVENCHER (PA-C) in U.S. healthcare data.
Does the public listing show DANIEL M PROVENCHER (PA-C) as active?
DANIEL M PROVENCHER (PA-C)'s NPI record reflects an active status in NPPES.
What services align with DANIEL M PROVENCHER (PA-C)'s listing?
DANIEL M PROVENCHER (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit DANIEL M PROVENCHER (PA-C) in Hinsdale, Illinois?
For routing, start with Hinsdale, Illinois for DANIEL M PROVENCHER (PA-C), then verify phone and hours locally.
Who maintains DANIEL M PROVENCHER (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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