RIDA W BOULOS

PEORIA, IL
NPI1114991577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IL  036055246)
Enumeration Date2006-02-14
Last Update Date2007-07-09
Business Address
-- RIDA W BOULOS MD
DEPT OF OB / GYN 530 NE GLEN OAK
PEORIA, IL 61637-0001
Phone number: 309-655-3024
Mailing Address
-- RIDA W BOULOS MD
1 ILLINI DR
PEORIA, IL 61605-2576
Phone number: 309-671-8503
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