TRANSFORMATIVE HEALTHCARE LLC
NPI 1356849566
Internal Medicine in Glen Carbon, IL

Active since January 23, 2018
4 COUNTRY CLUB EXECUTIVE PARK, GLEN CARBON, IL 62034(618) 659-5567 Get Directions Write a Review

NPPES record last updated: February 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Transformative Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMATIVE HEALTHCARE LLC (NPI 1356849566) is a healthcare organization registered as an internal medicine in Glen Carbon, Illinois and active in the NPI registry since January 2018. The organization lists Alisha Allen White, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1356849566
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTRANSFORMATIVE HEALTHCARE LLC
Location Address4 COUNTRY CLUB EXECUTIVE PARKGlen Carbon, IL 62034-1702
Mailing Address4 Country Club Executive ParkGlen Carbon, IL 62034-1702
Organization SubpartNo
Authorized OfficialAlisha Allen WhitePhysician/owner · (618) 659-5567
Enumeration DateJanuary 23, 2018
Last NPPES UpdateFebruary 16, 2018
NPI 1356849566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IL · 036121823
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4 COUNTRY CLUB EXECUTIVE PARK, Glen Carbon, IL 62034

Other Identifiers 1

Other1467600155Individual Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
4 COUNTRY CLUB EXECUTIVE PARK
GLEN CARBON, IL 62034
Allergy & Immunology
4 COUNTRY CLUB EXECUTIVE PARK
GLEN CARBON, IL 62034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Transformative Healthcare LLC's NPI number?

The NPI number for Transformative Healthcare LLC is 1356849566. It was assigned to this organization in the NPPES registry on January 23, 2018.

Where is Transformative Healthcare LLC located?

Transformative Healthcare LLC is located at 4 Country Club Executive Park, Glen Carbon, IL 62034. The listed phone number is (618) 659-5567.

What is Transformative Healthcare LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Transformative Healthcare LLC was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.