JOSE BALBOA BLANCO, SURGICAL ASSISTANT
Physician Assistant - Surgical
Active
Individual
NPI: 1902252125
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist, Other - Surgical Assistant | 246ZC0007X | No | 15-483 (CO) |
| Physician Assistant - Surgical | 363AS0400X | Yes | 238.000547 (IL) |
Frequently Asked Questions
NPI 1902252125 is the National Provider Identifier for JOSE BALBOA BLANCO, SURGICAL ASSISTANT, a Physician Assistant - Surgical provider located in Mokena, IL. This NPI was enumerated on May 6, 2016.
JOSE BALBOA BLANCO, SURGICAL ASSISTANT practices at 18761 CHESTNUT CT, Mokena, IL 60448.
Quick Facts
- NPI
- 1902252125
- Type
- Individual
- Enumerated
- May 6, 2016
- Last Updated
- Jun 7, 2025
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