NPIMap

Organization Active NPI

Lincoln Medical Associates,S.C.

Doing business as Mollohan Medical Clinic

  • Internal Medicine Physician
  • Naperville, IL
National Provider Identifier
1003959602
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LINCOLN MEDICAL ASSOCIATES,S.C.
Doing business as
Mollohan Medical Clinic
Practice address
535 Fairway Dr
Suite 107
Naperville, IL 60563-3938
Phone
(630) 548-5936
Fax
(630) 548-5940
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William H Mollohan, DONPI 1720006919
Title
Owner
Phone
(630) 548-5936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

535 Fairway Dr
Suite 107
Naperville, IL 60563-3938

Mailing address

PO Box 245
Eola, IL 60519-0245
Phone (630) 548-5936

Other names 1

  • Mollohan Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003959602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "EOLA",
            "state": "IL",
            "postal_code": "605190245",
            "telephone_number": "630-548-5936",
            "fax_number": "630-548-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FAIRWAY DR",
            "address_2": "SUITE 107",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605633938",
            "telephone_number": "630-548-5936",
            "fax_number": "630-548-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEDICAL ASSOCIATES,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOLLOHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-548-5936",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mollohan Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.