Individual
KYLE STANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
(309) 662-3311
Mailing address
2200 E WASHINGTON ST, BLOOMINGTON, IL 61701-4364
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
036157009
IL
Other
Enumeration date
03/24/2016
Last updated
01/22/2025
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