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

Mr. Edward Timothy Leblanc, PA-C

Individual provider Surgical Physician Assistant · NPI 1235476755

Mr. Edward Timothy Leblanc, PA-C is a Physician Assistant in McHenry, Illinois. Qualified in 2012, 14 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
14
Licensed in
IL, WI
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437
Phone: (815) 759-8070
Fax: (815) 759-4931
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009681 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3644-23 (WI)

Record details

NPI number1235476755
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2013
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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