Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RIDA W BOULOS MD
NPI 1114991577
Obstetrics & Gynecology in Peoria, IL

Q: What is Rida Boulos's NPI number?

The NPI number for Rida Boulos is 1114991577. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Q: What is Rida Boulos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Rida Boulos was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 14, 2006

DEPT OF OB / GYN, 530 NE GLEN OAK, PEORIA, IL 61637(309) 655-3024 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rida W Boulos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIDA W BOULOS MD (NPI 1114991577) is an individual obstetrics & gynecology provider in Peoria, Illinois and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1114991577

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameRIDA W BOULOSCredential: MD

Location AddressDEPT OF OB / GYN, 530 NE GLEN OAKPeoria, IL 61637-0001

Mailing Address1 Illini DrPeoria, IL 61605-2576 · (309) 671-8503

Phone(309) 655-3024

Sole ProprietorNo

Enumeration DateFebruary 14, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1114991577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Definition

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.

DEPT OF OB / GYN, Peoria, IL 61637

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Other Identifiers 1

Other07215036IL · Bcbs

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD SAAD MD

Obstetrics & Gynecology

DEPT OF OB / GYN, 530 NE GLEN OAK
PEORIA, IL 61637

Peoria County (309) 655-3024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rida Boulos's NPI number?

The NPI number for Rida Boulos is 1114991577. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Rida Boulos located?

Rida Boulos practices at Dept Of Ob / Gyn 530 NE Glen Oak, Peoria, IL 61637. The listed phone number is (309) 655-3024.

What is Rida Boulos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Rida Boulos was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.