NPIMap

Organization Active NPI

Ludag LLC, Dba Cancer Treatment Group

  • Radiation Oncology Physician
  • Bourbonnais, IL
National Provider Identifier
1922287358
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
LUDAG LLC, DBA CANCER TREATMENT GROUP
Practice address
100 Provena Way
Bourbonnais, IL 60914-4796
Phone
(815) 937-2460
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Robert T Woodburn, MDNPI 1407848849
Title
President
Phone
(574) 271-2558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

100 Provena Way
Bourbonnais, IL 60914-4796

Mailing address

PO Box 85327
Chicago, IL 60689-5327
Phone (800) 329-1906

National Provider Directory

National Provider Directory
Tax ID family
Indiana Breast Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

100 Provena Way
Bourbonnais, IL 60914
Phone (815) 929-5800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1922287358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85327",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895327",
            "telephone_number": "800-329-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROVENA WAY",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144796",
            "telephone_number": "815-937-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDAG LLC, DBA CANCER TREATMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "WOODBURN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-271-2558",
        "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": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.