Individual provider Active NPI

Marcus Stammen, DO

  • Dermatology Physician
  • Sycamore, IL
National Provider Identifier
1861070203
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036176359 Issued in IL
Practice address
2530 Hauser Ross Dr Ste 100
Sycamore, IL 60178-3147
Phone
(815) 766-9903
NPI assigned
Mar 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036176359 IL Primary

Addresses

Primary practice location

2530 Hauser Ross Dr Ste 100
Sycamore, IL 60178-3147

Mailing address

2530 Hauser Ross Dr
Sycamore, IL 60178-3162
Phone (815) 766-9903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812004033 IL Practitioner - Dermatology 3971908344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Midwestern University, Chicago College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Dupage Physician GroupGroup PAC ID 5890696231, 1,087 clinicians

Practice addresses (Care Compare)

2530 Hauser Ross Dr
Sycamore, IL 60178-3162
Phone (815) 766-9903

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions253
Removal or shaving of skin growth12
Skin biopsy133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Aug 2, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Aug 2, 2025 Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

2530 Hauser Ross Dr
Ste 100
Sycamore, IL 60178
Phone (608) 313-9992

2530 Hauser Ross Dr
Sycamore, IL 60178
Phone (815) 766-9903

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1861070203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 HAUSER ROSS DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783162",
            "telephone_number": "815-766-9903",
            "fax_number": "815-766-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 HAUSER ROSS DR STE 100",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783147",
            "telephone_number": "815-766-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMMEN",
        "first_name": "MARCUS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-29",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036176359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

Verify at the official NPI Registry.