Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rida W Boulos, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1114991577

Rida W Boulos, MD is an Obstetrics & Gynecology Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Dept Of OB / GYN 530 NE Glen Oak
Peoria, IL 61637-0001
Phone: (309) 655-3024
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Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X (IL)

Record details

NPI number1114991577
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 14, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1 Illini Dr, Peoria, IL 61605-2576

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