| Rida W Boulos, MD | |
| 
					Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637-0001  | |
| (309) 655-3024 | |
| Not Available | 
| Full Name | Rida W Boulos | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology | 
| Location | Dept Of Ob / Gyn, Peoria, Illinois | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1114991577 | NPI | - | NPPES | 
| 07215036 | Other | IL | BCBS | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | (Illinois) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Rida W Boulos, MD 1 Illini Dr, Peoria, IL 61605-2576 Ph: (309) 671-8503  | Rida W Boulos, MD Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, IL 61637-0001 Ph: (309) 655-3024  | 
Dr. Michael Leonardi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4911 N Executive Dr, Suite 200, Peoria, IL 61614 Phone: 309-683-6700 Fax: 309-683-6722  | |
Charles Egley, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-4144  | |
Dr. Pilar Mckay Rainey, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak, Peoria, IL 61634 Phone: 309-655-4163  | |
Gary A Johnson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615 Phone: 309-243-3000 Fax: 309-243-3000  | |
Mrs. Tamara L. Olt, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6915 N Knoxville Ave, Peoria, IL 61614 Phone: 309-692-2805 Fax: 309-692-1913  | |
Dr. Rebecca Jane Byler Dann, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1 Illini Dr # 1649, Peoria, IL 61605 Phone: 309-655-3024 Fax: 309-655-3739  |