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

Stephen Bancroft

Individual provider Surgical Physician Assistant · NPI 1689390957

Stephen Bancroft is a Physician Assistant in Chicago, Illinois. Qualified in 2022, 4 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

5140 N California Ave
Chicago, IL 60625-3645
Phone: (630) 470-7483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085009321 (IL)

Record details

NPI number1689390957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2022
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023
Mailing address5140 N California Ave, Chicago, IL 60625-3645

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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