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Organization
PROASSISTING, INC
Active
Organization
PROASSISTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE BALBOA (PRESIDENT)
(786) 448-9020
Entity
Organization
Contact information
Practice address
18761 CHESTNUT CT, MOKENA, IL 60448-9501
(786) 448-9020
Mailing address
18761 CHESTNUT CT, MOKENA, IL 60448-9501
(786) 448-9020
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NULL
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
07/07/2022
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