Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary E Illions-Wilde, MD

Individual provider Pediatrics Physician · NPI 1144289604

Mary E Illions-Wilde, MD is a Pediatrics Physician in Coon Rapids, Minnesota. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone: (763) 236-6000
Fax: (763) 236-3433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 10132042-1205 (UT)

Record details

NPI number1144289604
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022
Mailing address321 N Mall Dr Ste B201, St George, UT 84790-7310

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