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

Kevin Stephens Jr.

Individual provider Family Medicine Physician · NPI 1770977662

Kevin Stephens Jr. is an Internal Medicine in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Hackensack Meridian Health Medical Group - Primary Care PC, a 364-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Louisiana.

Years since qualifying
11
Licensed in
IL, LA
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

1715 E 95th St
Chicago, IL 60617-4708
Phone: (773) 768-4437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6521 Airline Dr, Metairie, LA 70003-5113 — (504) 534-1226
  • 4151 Bladensburg Rd, Brentwood, MD 20722 — (301) 699-7700

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036.56 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 325655 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770977662
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2015
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Hackensack Meridian Health Medical Group - Primary Care Pc — 364 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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