Individual provider · Type 1 NPI

Rida W. Boulos, MD

Obstetrics & Gynecology Physician · Peoria, IL

NPI number 1114991577 Active

Practice location

Dept Of Ob / Gyn, 530 NE Glen Oak
Peoria, IL 61637-0001

Call (309) 655-3024 Map

Mailing address

1 Illini Dr
Peoria, IL 61605-2576

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000XNone listed

Obstetrics & Gynecology Physician: 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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About NPI 1114991577

Rida W. Boulos, MD's National Provider Identifier is 1114991577, issued on Feb 14, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Peoria, IL. The record was last updated on Jul 13, 2026.