Individual
MARY A MCILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4552
(614) 722-4578
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-4552
(614) 722-4578
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35039982
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105383000
—
WV
05
—
0403503
—
OH
05
—
64789134
—
KY
Enumeration date
08/31/2005
Last updated
01/15/2016
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