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

Daniel M Provencher, PA-C

Individual provider Medical Physician Assistant · NPI 1053426965

Daniel M Provencher, PA-C is a Medical Physician Assistant in Hinsdale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

911 N Elm St Ste 128
Hinsdale, IL 60521-3640
Phone: (630) 789-2260
Fax: (630) 789-1584
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085001850 (IL)

Record details

NPI number1053426965
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESJanuary 12, 2012

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