Organization
KANKAKEE RADIATION ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T WOODBURN MD (OFFICER)
(708) 460-9836
Entity
Organization
Contact information
Practice address
100 PROVENA WAY, SUITE 102, BOURBONNAIS, IL 60914-4796
(815) 937-2460
(815) 937-2031
Mailing address
PO BOX 379, ORLAND PARK, IL 60462-0379
(708) 460-9836
(708) 460-1117
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
10/01/2007
Last updated
10/01/2007
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