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Rida W Boulos, MD
Obstetrics & Gynecology Physician in Peoria, Illinois
NPI 1114991577

Rida W Boulos is a Obstetrics & Gynecology Physician based in Peoria, IL. Rida W Boulos practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Rida W Boulos is 1114991577 and holds a License No. (Illinois).

The current practice location address for Rida W Boulos is Dept Of Ob / Gyn, Peoria, IL and can be reached out via phone at 309-655-3024.

Location: Dept Of Ob / Gyn, Peoria, IL, 61605-2576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114991577
Provider Name
Rida W Boulos
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Dept Of Ob / Gyn, Peoria, IL, 61605-2576
Phone Number
309-655-3024
Fax Number
Provider Enumeration Date
02/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07215036 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
Dept Of Ob / Gyn
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-3024
Fax Number
person
Provider Business Mailing Address Details
Address
Dept Of Ob / Gyn
City
Peoria
State
Illinois
Zip
61637-0001
Phone Number
309-655-3024
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
(Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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