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KANKAKEE RADIATION ONCOLOGY LLC
NPI 1740477900
Radiology - Radiation Oncology in Bourbonnais, IL

Active since October 01, 2007
100 PROVENA WAY, SUITE 102, BOURBONNAIS, IL 60914(815) 937-2460(815) 937-2031 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kankakee Radiation Oncology Llc NPPES

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

KANKAKEE RADIATION ONCOLOGY LLC (NPI 1740477900) is a healthcare organization registered as a radiation oncology in Bourbonnais, Illinois and active in the NPI registry since October 2007. The organization lists Robert T Woodburn, Officer, as its authorized official.

NPPES Registry Identity

NPI1740477900
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameKANKAKEE RADIATION ONCOLOGY LLC
Location Address100 PROVENA WAY, SUITE 102Bourbonnais, IL 60914-4796
Mailing AddressPo Box 379Orland Park, IL 60462-0379 · (708) 460-9836 · Fax (708) 460-1117
Phone(815) 937-2460
Fax(815) 937-2031
Organization SubpartNo
Authorized OfficialRobert T WoodburnOfficer · (708) 460-9836
Enumeration DateOctober 1, 2007
✔ NPI 1740477900 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.
100 PROVENA WAY, Bourbonnais, IL 60914
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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

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET COMFORT PA
Physician Assistant
100 PROVENA WAY, SUITE 103
BOURBONNAIS, IL 60914
Kankakee County (815) 937-8780
PRESENCE HOSPITALS PRV
Internal Medicine (Hematology & Oncology)
100 PROVENA WAY, SUITE 103
BOURBONNAIS, IL 60914
Kankakee County (815) 937-8780
SURESH H WADHWANI M.D. S.C.
Internal Medicine (Cardiovascular Disease)
100 PROVENA WAY
BOURBONNAIS, IL 60914
Kankakee County (815) 936-3200
RADIATION ONCOLOGY OF KANKAKEE
Radiology (Radiation Oncology)
100 PROVENA WAY, SUITE 102
BOURBONNAIS, IL 60914
Kankakee County (815) 937-2460
PROVENA IMAGING SERVICES INC
Radiology (Diagnostic Radiology)
100 PROVENA WAY, SUITE 104
BOURBONNAIS, IL 60914
Kankakee County (815) 929-5800
LUDAG LLC, DBA CANCER TREATMENT GROUP
Radiology (Radiation Oncology)
100 PROVENA WAY
BOURBONNAIS, IL 60914
Kankakee County (815) 937-2460

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 Kankakee Radiation Oncology LLC's NPI number?

The NPI number for Kankakee Radiation Oncology LLC is 1740477900. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Kankakee Radiation Oncology LLC located?

Kankakee Radiation Oncology LLC is located at 100 Provena Way Suite 102, Bourbonnais, IL 60914. The listed phone number is (815) 937-2460.

What is Kankakee Radiation Oncology LLC'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 Kankakee Radiation Oncology LLC was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.