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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CANYON CREST RADIATION ONCOLOGY PLLC
NPI 1316869746
Radiology - Radiation Oncology in Peru, IL

Active since July 28, 2026
4931 VENTURE DRIVE, PERU, IL 61345(779) 345-2945 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Canyon Crest Radiation Oncology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANYON CREST RADIATION ONCOLOGY PLLC (NPI 1316869746) is a healthcare organization registered as a radiation oncology in Peru, Illinois and active in the NPI registry since July 2026. The organization lists Robert Theodore Woodburn, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1316869746
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameCANYON CREST RADIATION ONCOLOGY PLLC
Location Address4931 VENTURE DRIVEPeru, IL 61345
Mailing Address4931 Venture DrivePeru, IL 61345
Phone(779) 345-2945
Organization SubpartNo
Authorized OfficialRobert Theodore WoodburnAuthorized Official · (219) 741-1713
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1316869746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
4931 VENTURE DRIVE, Peru, IL 61345
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canyon Crest Radiation Oncology PLLC's NPI number?

The NPI number for Canyon Crest Radiation Oncology PLLC is 1316869746. It was assigned to this organization in the NPPES registry on July 28, 2026.

Where is Canyon Crest Radiation Oncology PLLC located?

Canyon Crest Radiation Oncology PLLC is located at 4931 Venture Drive, Peru, IL 61345. The listed phone number is (779) 345-2945.

What is Canyon Crest Radiation Oncology PLLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Canyon Crest Radiation Oncology PLLC was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.