Search › Illinois › 363AM0700X
Daniel Provencher, PA-C
NPI 1053426965 · on the registry since 2006
Practice
- Address
- 911 N Elm St
Suite 128
Hinsdale, IL 60521 - Phone
- (630) 789-2260
- Fax
- (630) 789-1584
- Organisation at this address
- Onlymed Llc
Mobius, Inc
Specialty Orthopaedics Llc
Robert A. Beatty, M.D. S.C.
Adventist Health Partners,IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 80
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois