Robert T Woodburn (NPI# 1407848849, PAC ID# 4284667221) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1407848849 |
| PAC ID by PECOS | 4284667221 |
| Professional Enrollment ID | I20061214000151 |
| Full Name | Robert T Woodburn |
| Organization Legal Name | LUDAG LLC |
| Address |
100 Provena Way Suite 102 Bourbonnais IL 60914-4797 |
| Phone Number | 8159372460 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 3779516703 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150002 | METHODIST HOSPITALS INC |
| 140155 | PRESENCE ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Provena Way, Suite 102, Bourbonnais, IL 60914-4797 | 8159372460 | LUDAG LLC |
| 1007 Lincolnway, La Porte, IN 46350-3201 | 2193262683 | LUDAG LLC |
| Organization Legal Name | LUDAG LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tae S Chung | Radiation Oncology | Ludag LLC | 8701 Broadway, Merrillville, IN 46410-7035 |
| Ram P Narayan | Radiation Oncology | Ludag LLC | 1007 Lincolnway, La Porte, IN 46350-3201 |
| Charles G Groen | Radiation Oncology | Ludag LLC | 100 Provena Way, Suite 102, Bourbonnais, IL 60914-4797 |
| Street Address |
100 PROVENA WAY SUITE 102 |
| City | BOURBONNAIS |
| State | IL |
| Zip | 60914-4797 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dharam R Anand | Internal Medicine | 100 Provena Way, Suite D, Bourbonnais, IL 60914-4798 | |
| Charles G Groen | Radiation Oncology | Ludag LLC | 100 Provena Way, Suite 102, Bourbonnais, IL 60914-4797 |
| Salil R Vasanwala | Internal Medicine | 100 Provena Way, Suite 2a, Bourbonnais, IL 60914-4796 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John P Grumish | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Casey A Moauro | Obstetrics/gynecology | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Brian Egan | Vascular Surgery | Presence Healthcare Services | 1 Provena Way, Bourbonnais, IL 60914 |
| Michael S Schroer | Chiropractic | 40 Briarcliff Professional Ctr, Bourbonnais, IL 60914 | |
| Katrina Schabacker | Nurse Practitioner | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Nikhil Bhargava | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Jamie Slade | Pathology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| David B Sutherland | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Daniel Errampalli | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Thomas L Oconnor | Gastroenterology | Digestive Diseases Consultants of Kankakee Sc | 1615 N Convent, Suite 1, Bourbonnais, IL 60914-1081 |
| Find all physicians in zip 60914 | |||
| City | BOURBONNAIS |
| Zip Code | 60914 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | BOURBONNAIS + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on Robert T Woodburn.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.