Individual provider · Type 1 NPI

Jose Balboa Blanco, SURGICAL ASSISTANT

Surgical Physician Assistant · Mokena, IL

NPI number 1902252125 Active

Practice location

18761 Chestnut Ct
Mokena, IL 60448-9501

Call (786) 296-5425 Map

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant 246ZC0007X15-483 (CO)
Surgical Physician Assistant Primary 363AS0400X238.000547 (IL)

Surgical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1902252125

Jose Balboa Blanco, SURGICAL ASSISTANT's National Provider Identifier is 1902252125, issued on May 6, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Mokena, IL. The record was last updated on Jun 7, 2025.