Rida W Boulos, MD - Obstetrics & Gynecology in Peoria, IL

Rida W Boulos, MD is a Obstetrics & Gynecology physician based in Peoria, Illinois. Rida W Boulos is licensed to practice in Illinois (license number ) and his current practice location is Dept Of Ob / Gyn, 530 Ne Glen Oak, Peoria, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 655-3024.

NPI number for Rida W Boulos is 1114991577 and his current mailing address is 1 Illini Dr, Peoria, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114991577.

Contact Information

Rida W Boulos, MD
Dept Of Ob / Gyn, 530 Ne Glen Oak,
Peoria, IL 61637-0001
(309) 655-3024
Not Available

Map and Direction




Physician's Profile

Full NameRida W Boulos
GenderMale
SpecialityObstetrics & Gynecology
LocationDept Of Ob / Gyn, Peoria, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114991577
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Rida W Boulos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114991577NPI-NPPES
07215036OtherILBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rida W Boulos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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

Reviews and Comments


Obstetrics & Gynecology Doctors in Peoria, IL

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: Medicare Enrolled
Practice Location: 530 Ne Glen Oak, Peoria, IL 61634
Phone: 309-655-4163    
Gary A Johnson, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
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: 5401 N Knoxville Ave, Suite 109, 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

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