Pele Boutrous Dina (NPI# 1275898116, PAC ID# 2062651946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1275898116 |
| PAC ID by PECOS | 2062651946 |
| Professional Enrollment ID | I20180630000091 |
| Full Name | Pele Boutrous Dina |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Address |
415 N 9th St Springfield IL 62702-5303 |
| Phone Number | 2175455817 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2365352820 |
| Number of Group Practice Members | 236 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 415 N 9th St, Springfield, IL 62702-5303 | 2175455817 | SIU PHYSICIANS AND SURGEONS INC |
| Organization Legal Name | SIU PHYSICIANS AND SURGEONS INC |
| Physicians | 259 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda M Clouser | Nurse Practitioner | Siu Physicians and Surgeons Inc | 315 W Carpenter St, Springfield, IL 62702-4901 |
| Kristina Epplin Sondgeroth | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 400 N 9th St, 3rd Floor Clinic B, Springfield, IL 62702-5310 |
| Evans M Mutua | Nurse Practitioner | Siu Physicians and Surgeons Inc | 720 N Bond St, Springfield, IL 62702-4952 |
| Lori A Bland | Nurse Practitioner | Siu Physicians and Surgeons Inc | 102 W Kenwood Ave, Lowr Level, Decatur, IL 62526-4368 |
| Carmen A Orellana Martinez | Psychiatry | Siu Physicians and Surgeons Inc | 319 E Madison St, Fl 3, Springfield, IL 62701-1035 |
| Basar Cenik | Psychiatry | Siu Physicians and Surgeons Inc | 901 W Jefferson St, Springfield, IL 62702-4833 |
| Henry Olugbenga Adekola | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Momin Saulat Siddique | Cardiovascular Disease (cardiology) | Siu Physicians and Surgeons Inc | 340 W Miller St, Springfield, IL 62702-4928 |
| Kaylie A Caswell | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1100 E Lincolnshire Blvd, Suite 200, Springfield, IL 62703-5950 |
| Lorie Ann Sporrer | Nurse Practitioner | Siu Physicians and Surgeons Inc | 301 N 8th St, Springfield, IL 62701-1041 |
| Street Address |
415 N 9TH ST |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62702-5303 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Olugbenga Adekola | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Stacie Renee Gregory | Otolaryngology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Laurent Brard | Gynecological Oncology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Gregory Paul Brandt | Pediatric Medicine | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Erica Elizabeth Nelson | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Chad Allen Huston | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Mhd Yahia Zeino | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Casey C Younkin | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Jesse Tao Buedefeldt-pollard | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Jongjin Anne Martin | Obstetrics/gynecology | Siu Physicians and Surgeons Inc | 415 N 9th St, Springfield, IL 62702-5303 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas P Speck | Chiropractic | 405 E Sangamon Ave, Springfield, IL 62702-1762 | |
| Ryan T Durocher | Chiropractic | 1244 E Sangamon Ave, Springfield, IL 62702-1854 | |
| Dana K Oliver | Chiropractic | Lincoln Chiropractic Clinic PC | 1244 E Sangamon Ave, Springfield, IL 62702-1854 |
| Casey Steven Sitko | Chiropractic | 205 N Grand W Ave, Springfield, IL 62702-2550 | |
| Steven M Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| John L Miller | Chiropractic | The Wellness Center S.c. | 203 N Grand Ave W, Springfield, IL 62702-2550 |
| Cody Derek Needham | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Kyle James Sitko | Chiropractic | 205 N Grand Ave W, Springfield, IL 62702-2550 | |
| Scott P Blomberg | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Andrew T Clark | Optometry | Springfield Vision Care Associates Ltd | 121 N Grand Ave W, Springfield, IL 62702-2562 |
| Find all physicians in zip 62702 | |||
| City | SPRINGFIELD |
| Zip Code | 62702 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | SPRINGFIELD + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Pele Boutrous Dina.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.