RIDA W BOULOS (MD) – Obstetrics & Gynecology Physician, NPI 1114991577

RIDA W BOULOS (MD) is a healthcare provider. based in Peoria, Illinois. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. The NPI Number for RIDA W BOULOS (MD) is 1114991577

Main info

Male
Name
RIDA W BOULOS (MD)
NPI
1114991577
Phone
(309) 671-8503
Address
1 ILLINI DR
Enumeration Date
14 February 2006
Last Update Date
9 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

Provider Addresses for RIDA W BOULOS (MD)

  • Univerity of Illinois College of Medicine at Peoria, 1, Illini Drive, Peoria, Peoria County, Illinois, 61605, United States

    PEORIA, IL 616052576

    Phone: (309) 671-8503

    Type: Mailing

  • DEPT OF OB / GYN

    530 NE GLEN OAK

    PEORIA, IL 616370001

    Phone: (309) 655-3024

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61605)

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Frequently asked questions

What unique ID ties claims to RIDA W BOULOS (MD)?
NPI 1114991577 is assigned to RIDA W BOULOS (MD) under the national enumeration system.
Does this profile mean RIDA W BOULOS (MD) is currently active?
Yes — RIDA W BOULOS (MD) appears active in the national provider directory.
What does RIDA W BOULOS (MD) treat or focus on?
Patients typically see RIDA W BOULOS (MD) under the specialty Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does RIDA W BOULOS (MD) practice in Illinois?
You will see Peoria, Illinois on file for RIDA W BOULOS (MD) alongside any extra practice locations.
How can I contact RIDA W BOULOS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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Unknown Individual

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DEPT OF OB / GYN
NPI: 1982673943