RIDA W BOULOS MD
NPI 1114991577
Obstetrics & Gynecology in Peoria, IL
- Individual
- Male
- Obstetrics & Gynecology
About RIDA BOULOS
This page provides the complete NPI Profile along with additional information for Rida Boulos, a women's health care provider established in Peoria, Illinois with a medical specialization in Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1114991577 assigned on February 2006. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an individual and his NPI record was last updated July 2026.
- NPI
- 1114991577 Verify this NPI
- Provider Name
- RIDA W BOULOS MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- DEPT OF OB / GYN 530 NE GLEN OAK PEORIA, IL 61637
- Location Phone
- (309) 655-3024
- Mailing Address
- 1 ILLINI DR PEORIA, IL 61605
- Mailing Phone
- (309) 671-8503
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-14-2006
- Last Update Date
- 07-13-2026
- Code Navigator
Women's health care providers like Rida Boulos treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 07215036 | OTHER (01) | IL | BCBS |
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114991577, enumerated as an "individual" on February 14, 2006.
The provider is located at DEPT OF OB / GYN 530 NE GLEN OAK PEORIA, IL 61637 and the phone number is (309) 655-3024.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
