| Dr Jacob Stephen, MD | |
|
1850 Gateway Dr, Sycamore, IL 60178-3192 | |
| (630) 232-0280 | |
| (630) 232-3895 |
| Full Name | Dr Jacob Stephen |
|---|---|
| Gender | Male |
| Speciality | Interventional Cardiology |
| Experience | 26 Years |
| Location | 1850 Gateway Dr, Sycamore, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174624415 | NPI | - | NPPES |
| 206147 | Other | IL | MEDICARE GROUP PTAN |
| F40332641 | Other | IL | MEDICARE INDIVID PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35.083380 (Ohio) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 036133593 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kishwaukee Community Hospital | Dekalb, IL | Hospital |
| Central Dupage Hospital | Winfield, IL | Hospital |
| Valley West Community Hospital | Sandwich, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 3871 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Stephen, MD 5 Kish Hospital Dr Ste 103, Dekalb, IL 60115-9602 Ph: (630) 232-0280 | Dr Jacob Stephen, MD 1850 Gateway Dr, Sycamore, IL 60178-3192 Ph: (630) 232-0280 |
Dr. Paul H Nguyen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 Hauser Ross Drive, Suite 325, Sycamore, IL 60178 Phone: 815-758-7700 | |
Dr. Mohammad Taghi Takhtehchian, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 225 Edward St, Sycamore, IL 60178 Phone: 815-895-2144 | |
Mujahid Mohammad Hussain, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Gateway Dr, Sycamore, IL 60178 Phone: 815-756-1521 | |
Ms. Maria Caridad Aguilera Astudillo, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1850 Gateway Dr Ste 205, Sycamore, IL 60178 Phone: 815-754-1097 Fax: 815-748-8957 | |
Periakaruppan Ramanathan, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2535 Bethany Road, #110, Sycamore, IL 60178 Phone: 815-756-1434 Fax: 815-756-4776 | |
Dr. Amulya Reddy, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1830 Mediterranean Dr, Sycamore, IL 60178 Phone: 815-766-3873 Fax: 815-766-7713 |