DANIEL PROVENCHER, PA-C

PA-C

Medical Physician Assistant

NPI: 1053426965Individual

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

085001850(IL)

Contact & Hours

Address: 911 N ELM ST, SUITE 128
HINSDALE, IL 60521
Phone: (630) 789-2260

Quick Facts

NPI: 1053426965
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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