Physician Assistant, Surgical
JOSE BALBOA BLANCO SURGICAL ASSISTANT
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1902252125 · enumerated 2016-05-06 · record updated 2025-06-07. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 18761 CHESTNUT CT, MOKENA, IL, 60448-9501 (786) 296-5425 Google Maps Apple Maps OpenStreetMap
- Mailing address 18761 CHESTNUT CT, MOKENA, IL, 60448-9501 (786) 296-5425 Google Maps Apple Maps OpenStreetMap
Specialties
- Specialist/Technologist, Other, Surgical Assistant 246ZC0007X · License 15-483 CO
- Physician Assistant, Surgical 363AS0400X · Primary · License 238.000547 IL
In this directory
Locations and evidence
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Practice location
MOKENA, IL, 604489501
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.