Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSE BALBOA BLANCO, SURGICAL ASSISTANT
Active Sole ProprietorJOSE BALBOA BLANCO, SURGICAL ASSISTANT is a Surgical Physician Assistant healthcare provider located in MOKENA, Illinois. NPI 1902252125 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MOKENA, IL
Registration Details
- NPI Number
- 1902252125
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2016 (10.085482499792 yrs)
- Last Updated
- Jun 7, 2025
- Licenses
-
15-483 (CO)238.000547 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
18761 CHESTNUT CTMOKENA, IL, 604489501Browse IL providers · Browse ZIP 60448
- Phone
- 7862965425
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in MOKENA, IL
| Name | Credential | NPI |
|---|---|---|
| LUIS F. ARAGON | RSA, LSA | 1376534842 |
| TROY METZ | — | 1811436132 |
| RICARDO RUVALCABA | RSA | 1144987181 |
| MOHAMAD JALAB | RSA | 1952058794 |
| OSCAR ALONSO VIRLA | SA-C | 1609649599 |
| MELISSA HOLMES | RSA | 1235906496 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.