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JOSE BALBOA BLANCO SURGICAL ASSISTANT
NPI 1902252125
Physician Assistant - Surgical in Mokena, IL

Active since May 06, 2016
18761 CHESTNUT CT, MOKENA, IL 60448(786) 296-5425 Get Directions Write a Review

NPPES record last updated: June 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2025, Jul 7, 2022, May 7, 2022 and 1 more (4 updates tracked since 2018).

About Jose Balboa Blanco Surgical Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE BALBOA BLANCO SURGICAL ASSISTANT (NPI 1902252125) is an individual surgical provider in Mokena, Illinois, licensed in Illinois (238.000547) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1902252125
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOSE BALBOA BLANCOCredential: SURGICAL ASSISTANT
Location Address18761 CHESTNUT CTMokena, IL 60448-9501
Mailing Address18761 Chestnut CtMokena, IL 60448-9501 · (786) 296-5425
Phone(786) 296-5425
Sole ProprietorYes
Enumeration DateMay 6, 2016
Last NPPES UpdateJune 7, 20254 updates tracked since enumeration
NPPES CertifiedJune 7, 2025
✔ NPI 1902252125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in IL · 238.000547
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X · License 15-483 (CO)
18761 CHESTNUT CT, Mokena, IL 60448
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Other Identifiers 1

OtherB411427823290FL · Driver Licence

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABRAHAM JOSE CHOURIO SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
ANGEL RUIZ SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
CARLOS ALBERTO NATERA GARCIA SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (847) 477-0308
MR. LOGAN HAYES WEATHERFORD NEURPHYSIOLOGIST
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
ROCIO DEL VALLE RUIZ DUQUE SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
ALFREDO MANUEL URQUIOLA SA-C
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
OSCAR ALONSO VIRLA SA-C
Specialist/Technologist, Other (Surgical Assistant)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020
PROASSISTING, INC
Physician Assistant (Surgical)
18761 CHESTNUT CT
MOKENA, IL 60448
Will County (786) 448-9020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jose Balboa Blanco's NPI number?

The NPI number for Jose Balboa Blanco is 1902252125. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Jose Balboa Blanco located?

Jose Balboa Blanco practices at 18761 Chestnut Ct, Mokena, IL 60448. The listed phone number is (786) 296-5425.

What is Jose Balboa Blanco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jose Balboa Blanco was last updated on June 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.