Healthcare Provider Details

I. General information

NPI: 1912959354
Provider Name (Legal Business Name): CATHERINE LOUISE MCILHANY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13650 E MISSISSIPPI AVE
AURORA CO
80012-3561
US

IV. Provider business mailing address

8300 FAIRMOUNT DR UNIT K-102
DENVER CO
80247-6527
US

V. Phone/Fax

Practice location:
  • Phone: 303-695-4993
  • Fax:
Mailing address:
  • Phone: 303-863-8221
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number39731
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: