IndividualActive
Edward Leblanc, PA-C
NPI 1235476755 · Physician Assistant · Mchenry, IL
Provider details
- NPI number
- 1235476755
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 3644-23 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4309 W Medical Center Dr Ste A200
Mchenry, IL 60050-8437
Phone: (815) 759-8070
Fax: (815) 759-4931
Approximate (ZIP-level) locationGet directions
Mailing address
4309 W Medical Center Dr Ste A200
Mchenry, IL 60050-8437
Registry dates
- Enumerated
- 2013-01-04
- Last updated
- 2023-09-08
- Certified
- 2023-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.