Canyon Crest Radiation Oncology PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

CANYON CREST RADIATION ONCOLOGY PLLC

Practice address

4931 Venture Drive
Peru, IL 61345

Phone

(779) 345-2945

NPI assigned

Jul 28, 2026

Last updated

Jul 28, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Theodore Woodburn III, MD

Title

Authorized Official

Phone

(219) 741-1713

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1316869746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 VENTURE DRIVE",
            "city": "PERU",
            "state": "IL",
            "postal_code": "61345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 VENTURE DRIVE",
            "city": "PERU",
            "state": "IL",
            "postal_code": "61345",
            "telephone_number": "779-345-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON CREST RADIATION ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "WOODBURN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "219-741-1713",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nora Rose Burch, WHNP-BC
• Kandi Burlingame, RN, CDCES
• Steven Busch, CRNA
• Alyssa Butkiewicz
• Jennifer Calhoun, MA, CCC-SLP/L
• Capstone Urology of Illinois SC
• Kayla Catherine Carlile, FNP-BC
• Tricia Casford
• Lee Michael Ceresa, D.D.S.
• Chicago Hearing LLC

• Radiation Oncology Physician in Peru, IL
• Providers in Peru, IL by specialty
• Radiation Oncology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.