Canyon Crest Radiation Oncology PLLC
Organization Active NPI Radiation Oncology Physician · Peru, IL
NPI 1316869746 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1316869746
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Theodore Woodburn III, MD
- Title
- Authorized Official
- Phone
- (219) 741-1713
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | Yes |
Addresses
Primary practice location
4931 Venture Drive
Peru, IL 61345
Mailing address
4931 Venture Drive
Peru, IL 61345
Other providers in Peru, IL
- Nora Rose Burch
- Kandi Burlingame
- Steven Busch
- Alyssa Butkiewicz
- Jennifer Calhoun
- Capstone Urology of Illinois SC
- Kayla Catherine Carlile
- Tricia Casford
- Lee Michael Ceresa
- Chicago Hearing LLC
All providers in Peru, IL · Radiation Oncology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.