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

Dr. Jacob Stephen, MD

Individual provider Cardiovascular Disease Physician · NPI 1174624415

Dr. Jacob Stephen, MD is an Interventional Cardiology in Sycamore, Illinois. Qualified in 1999, 27 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Ohio.

Years since qualifying
27
Licensed in
IL, OH
In the registry since
2006
Specialties on file
2
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

1850 Gateway Dr
Sycamore, IL 60178-3192
Phone: (630) 232-0280
Fax: (630) 232-3895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5 Kish Hospital Dr Ste 103, Dekalb, IL 60115-9602 — (630) 232-0280

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036133593 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 35.083380 (OH)

Record details

NPI number1174624415
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 26, 2006
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address5 Kish Hospital Dr Ste 103, Dekalb, IL 60115-9602

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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