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1275898116
PELE BOUTROUS DINA
SPRINGFIELD, IL
NPI
1275898116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IL 036-138186)
Enumeration Date
2012-07-06
Last Update Date
2018-05-16
Business Address
PELE BOUTROUS DINA M.D
415 N 9TH ST # 4W16
SPRINGFIELD, IL 62702
Phone number: 217-545-8000
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Mailing Address
PELE BOUTROUS DINA M.D
PO BOX 19676
SPRINGFIELD, IL 62794-9676
Phone number: 217-545-8000
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