OrganizationActive
Kankakee Radiation Oncology LLC
NPI 1740477900 · Radiation Oncology Physician · Bourbonnais, IL
Provider details
- NPI number
- 1740477900
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Woodburn, Officer(708) 460-9836
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 Provena Way
Suite 102
Bourbonnais, IL 60914-4796
Phone: (815) 937-2460
Fax: (815) 937-2031
Street-level locationGet directions
Mailing address
Po Box 379
Orland Park, IL 60462-0379
Registry dates
- Enumerated
- 2007-10-01
- Last updated
- 2007-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.