Mark Boulous
Mark Boulous is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
Peoria, ILNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1912757642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | March 25, 2024 |
| Last updated in NPPES | March 25, 2024 |
| Certification date | March 25, 2024 |
Other providers in Peoria
-
Benjamin Christopher Booher, DO
Student / training record Peoria, IL
-
Joel Borden, MD
Student / training record Peoria, IL
-
Dr. Daniel J Borsuk, MD
Student / training record Peoria, IL
-
Brian Bottke, DO
Student / training record Peoria, IL
-
Dr. Jacqueline Boyle, MD
Student / training record Peoria, IL
-
Kacy Bradford
Student / training record Peoria, IL
-
Ann Lynn Braverman, DO
Student / training record Peoria, IL
-
Calee Michelle Bresnahan, MD
Student / training record Peoria, IL