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Dr. Jacob Stephen, MD
Interventional Cardiology Physician in Sycamore, Illinois
NPI 1174624415

Jacob Stephen is a Interventional Cardiology Physician based in Dekalb, IL and is specialized in Interventional Cardiology. Jacob Stephen practices in Sycamore, IL and has the professional credentials of MD. The NPI Number for Jacob Stephen is 1174624415 and holds a License No. 35.083380 (Illinois).

The current practice location address for Jacob Stephen is 1850 Gateway Dr, Sycamore, IL and can be reached out via phone at 630-232-0280 and via fax at 630-232-3895.

Location: 1850 Gateway Dr, Sycamore, IL, 60115-9602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174624415
Provider Name
Jacob Stephen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1850 Gateway Dr, Sycamore, IL, 60115-9602
Phone Number
630-232-0280
Fax Number
630-232-3895
Provider Enumeration Date
09/26/2006
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
206147 01 IL MEDICARE GROUP PTAN
F40332641 01 IL MEDICARE INDIVID PTAN
institution
Provider Business Practice Location Address Details
Address
1850 Gateway Dr
City
Sycamore
State
Illinois
Zip
60178-3192
Phone Number
630-232-0280
Fax Number
630-232-3895
person
Provider Business Mailing Address Details
Address
1850 Gateway Dr
City
Sycamore
State
Illinois
Zip
60178-3192
Phone Number
630-232-0280
Fax Number
630-232-3895
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036133593 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
35.083380 (Ohio)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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