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Jose Balboa Blanco, SURGICALASSISTANT
Surgical Physician Assistant in Mokena, Illinois
NPI 1902252125

Jose Balboa Blanco is a Surgical Physician Assistant based in Mokena, IL and is specialized in Surgical. Jose Balboa Blanco practices in Mokena, IL and has the professional credentials of SURGICALASSISTANT. The NPI Number for Jose Balboa Blanco is 1902252125 and holds a License No. 15-483 (Illinois).

The current practice location address for Jose Balboa Blanco is 18761 Chestnut Ct, Mokena, IL and can be reached out via phone at 786-296-5425.

Location: 18761 Chestnut Ct, Mokena, IL, 60448-9501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902252125
Provider Name
Jose Balboa Blanco
Credential
SURGICALASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
18761 Chestnut Ct, Mokena, IL, 60448-9501
Phone Number
786-296-5425
Fax Number
Provider Enumeration Date
05/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
B411427823290 01 FL DRIVER LICENCE
institution
Provider Business Practice Location Address Details
Address
18761 Chestnut Ct
City
Mokena
State
Illinois
Zip
60448-9501
Phone Number
786-296-5425
Fax Number
person
Provider Business Mailing Address Details
Address
18761 Chestnut Ct
City
Mokena
State
Illinois
Zip
60448-9501
Phone Number
786-296-5425
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Surgical Assistant
Taxonomy
246ZC0007X
License No.
238.000547 (Illinois)
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
15-483 (Colorado)
Definition
Definition to come...
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