Pele Boutrous Dina
M.D | Pediatric Neonatal-Perinatal Medicine | Male
Pele Boutrous Dina, M.D is a Springfield, Illinois based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Pele Boutrous Dina is
415 N 9th St # 4w16, Springfield, Illinois - 62702. He can be contacted on phone at
217-545-8000 and fax number 217-757-6844.
Pele Boutrous Dina is a sole proprietor of his business.
NPI number (Unique professional ID) for Pele Boutrous Dina is
1275898116 which was assigned by NPPES on 06 Jul, 2012 and it was last updated on 16 May, 2018.
Pele Boutrous Dina license number is
036-138186 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in Illinois.
Pele Boutrous Dina is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Pele Boutrous Dina basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Pele Boutrous Dina |
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| Credential : | M.D |
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| Gender : | Male |
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Business Address:
Pele Boutrous Dina address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 415 N 9th St # 4w16
Springfield, IL, 62702
United States |
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| Phone Number : | 217-545-8000 |
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| Fax Number : | 217-757-6844 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1275898116 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Jul, 2012 |
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| Last Updated On : | 16 May, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pele Boutrous Dina are as mentioned. Primary taxonomy code for Pele Boutrous Dina, M.D is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 036-138186 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Pele Boutrous Dina such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036-138186 | Other | IL | STATE LICENSE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 19676
Springfield, IL, 62794-9676
United States |
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| Phone Number : | 217-545-8000 |
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| Fax Number : | 217-757-6844 |
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Business Location:
Patients can refer following map for directions to
Pele Boutrous Dina practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.