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KYLE STANG MEDICAL STUDENT NPI 1750743134


NPI Information

NPI: 1750743134
Provider Name: KYLE STANG, MEDICAL STUDENT
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

Organization: ST. JOSEPH MEDICAL CENTER

PECOS Registration: Yes

Address:
2200 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 662-3311
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Kyle Stang, MEDICAL STUDENT is a radiation oncology radiology in Bloomington, IL with 8 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Kyle Stang, MEDICAL STUDENT NPI is 1750743134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

2200 E WASHINGTON ST
BLOOMINGTON, IL
ZIP 61701-364
Phone: (309) 662-3311

The NPI 1750743134 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/24/2016 and was last updated on 8/10/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation Oncology036157009ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.