| Regent Medical Specialists LLC | |
|
2112 W Galena Blvd Aurora IL 60506-3255 | |
| (331) 454-1915 | |
| Not Available |
| Full Name | Regent Medical Specialists LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2112 W Galena Blvd, Aurora, Illinois |
| Authorized Official Name and Position | William Mollohan (DO) |
| Authorized Official Contact | 3314541915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regent Medical Specialists LLC 2112 W Galena Blvd Aurora IL 60506-3255 | Regent Medical Specialists LLC 2112 W Galena Blvd Aurora IL 60506-3255 Ph: (331) 454-1915 |
| NPI Number | 1942159553 |
|---|---|
| Provider Enumeration Date | 01/26/2026 |
| Last Update Date | 01/26/2026 |
| Certification Date | 01/26/2026 |
| Medicare PECOS PAC ID | 4981189172 |
|---|---|
| Medicare Enrollment ID | O20260325003233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942159553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | William H Mollohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720006919 PECOS PAC ID: 7618878463 Enrollment ID: I20040512001121 |
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