PELE BOUTROUS DINA

SPRINGFIELD, IL
NPI1275898116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: IL  036-138186)
Enumeration Date2012-07-06
Last Update Date2018-05-16
Business Address
PELE BOUTROUS DINA M.D
415 N 9TH ST # 4W16
SPRINGFIELD, IL 62702
Phone number: 217-545-8000
Mailing Address
PELE BOUTROUS DINA M.D
PO BOX 19676
SPRINGFIELD, IL 62794-9676
Phone number: 217-545-8000