Doctor profile · Federal record
Dr. Jose Balboa Blanco, Surgical Assistant
Surgical Physician Assistant · Surgical Assistant · Mokena, IL
- NPI 1902252125
- 10 yrs on file
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
18761 Chestnut CT
Mokena, IL 604489501
(786) 296-5425
Credentials & registration
- NPI registered
- May 2016 — 10 yrs on file
- Profile last updated
- June 7, 2025
- Specialty taxonomy
- 363AS0400X — NUCC code
- State licenses (2)
- Illinois #238.000547 · Colorado #15-483
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902252125. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$27
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Davol Inc. | 2 | $26.65 |
By nature of payment
Frequently asked questions
What is Dr. Jose Balboa Blanco's medical specialty?
Dr. Jose Balboa Blanco practices Surgical Physician Assistant in Mokena, IL.
Where does Dr. Jose Balboa Blanco practice?
Dr. Jose Balboa Blanco practices at 18761 Chestnut CT, Mokena, IL 604489501. Office phone: 7862965425.
What is Dr. Jose Balboa Blanco's NPI?
Dr. Jose Balboa Blanco's National Provider Identifier (NPI) is 1902252125, issued by NPPES.