MEDICARE: SYDNEY KUNKEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	319.025278	IL

General Provider Information

NPI Number	:	1821921891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY KUNKEL

Provider Business Mailing Address
First Line	:	113 GREGORY LN
Second Line	:
City	:	LEXINGTON
State	:	IL
Zip	:	61753-1620
Country	:	US
Telephone Number	:	309-445-1515
Fax Number	:

Provider Business Practice Location Address
First Line	:	507 N HERSHEY RD STE A
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61704-3744
Country	:	US
Telephone Number	:	309-598-1697
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

Similar Medicare Providers

1548392681 — DR. GERALD AWADZI DMD
Practice Location Address:

507 N HERSHEY RD , SUITE B
BLOOMINGTON, IL
61704-3744

Practice Phone: 309-664-2288
Practice Fax: 309-664-5068

1285847541 — DENTAL PROFESSIONALS OF ILLINOIS, P.C.
Practice Location Address:

507 N HERSHEY RD STE A
BLOOMINGTON, IL
61704-3744

Practice Phone: 309-664-2288
Practice Fax: 309-664-5068

1073750287 — DR. UZMA S. HATIA DDS
Practice Location Address:

507 N HERSHEY RD STE D
BLOOMINGTON, IL
61704-3744

Practice Phone: 309-661-0197
Practice Fax: 309-663-0967

1962905802 — MARIS J LANS DDS
Practice Location Address:

507 N HERSHEY RD STE D
BLOOMINGTON, IL
61704-3744

Practice Phone: 309-664-2288
Practice Fax:

1215861182 — DR. NIKOLA PETROVIC DMD
Practice Location Address:

1507 N VETERANS PKWY STE 2
BLOOMINGTON, IL
61704-0916

Practice Phone: 309-490-8089
Practice Fax:

1710493770 — DR. ALEXANDER PERRY WILLETT PSYD
Practice Location Address:

808 S ELDORADO RD STE 102
BLOOMINGTON, IL
61704-6075

Practice Phone: 309-706-3190
Practice Fax: 309-588-4115

Directions to “ SYDNEY KUNKEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.