Provider Demographics
NPI:1912959354
Name:MCILHANY, CATHERINE LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:LOUISE
Last Name:MCILHANY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8300 FAIRMOUNT DR
Mailing Address - Street 2:UNIT K-102
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6527
Mailing Address - Country:US
Mailing Address - Phone:303-863-8221
Mailing Address - Fax:
Practice Address - Street 1:13650 E MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3561
Practice Address - Country:US
Practice Address - Phone:303-695-4993
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO39731208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO07270542Medicaid