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CARISSA SUSAN MCILWAIN PA-C
NPI 1003387572
Obstetrics & Gynecology in Bala Cynwyd, PA

Active since December 10, 2018
25 BALA AVE STE 205, BALA CYNWYD, PA 19004(610) 667-6363 Get Directions Write a Review

NPPES record last updated: December 10, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carissa Susan Mcilwain Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARISSA SUSAN MCILWAIN PA-C (NPI 1003387572) is an individual obstetrics & gynecology provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (OA002318) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1003387572
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCARISSA SUSAN MCILWAINCredential: PA-C
Location Address25 BALA AVE STE 205Bala Cynwyd, PA 19004-3215
Mailing Address19 Old Oaks RdBryn Mawr, PA 19010-1024 · (610) 564-5739
Phone(610) 667-6363
Sole ProprietorNo
Enumeration DateDecember 10, 2018
✔ NPI 1003387572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · OA002318
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
25 BALA AVE STE 205, Bala Cynwyd, PA 19004
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carissa Mcilwain's NPI number?

The NPI number for Carissa Mcilwain is 1003387572. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Where is Carissa Mcilwain located?

Carissa Mcilwain practices at 25 Bala Ave Ste 205, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-6363.

What is Carissa Mcilwain's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Carissa Mcilwain was last updated on December 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.