MARY E ILLIONS-WILDE MD
NPI 1144289604
Pediatrics in Coon Rapids, MN

Q: What is Mary Illions-wilde's NPI number?

The NPI number for Mary Illions-wilde is 1144289604. It was assigned to this individual provider in the NPPES registry on March 22, 2006. The provider is also known as Mary E Illions MD.

Q: What is Mary Illions-wilde's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since March 22, 2006

4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433(763) 236-6000(763) 236-3433 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Mary E Illions-wilde Md NPPES

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

MARY E ILLIONS-WILDE MD (NPI 1144289604) is an individual pediatrics provider in Coon Rapids, Minnesota, licensed in Utah (10132042-1205) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1144289604

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARY E ILLIONS-WILDECredential: MD

Location Address4050 COON RAPIDS BLVD NWCoon Rapids, MN 55433-2522

Mailing Address321 N Mall Dr Ste B201St George, UT 84790-7310 · (432) 222-0763

Phone(763) 236-6000

Fax(763) 236-3433

Sole ProprietorNo

Enumeration DateMarch 22, 2006

Last NPPES UpdateAugust 2, 2022

NPPES CertifiedAugust 2, 2022

✔ NPI 1144289604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in UT · 10132042-1205

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433

Open in Google Maps ↗

Other Names 1

Other Name (5)Mary E Illions Md

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEATHER LYNNE BLUE PHARMD

Pharmacist