Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Transformative Healthcare LLC

Organization Internal Medicine Physician · NPI 1356849566

Transformative Healthcare LLC is an Internal Medicine Physician in Glen Carbon, Illinois. Licensed in Illinois. Registered with an NPI since 2018.

Licensed in
IL
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4 Country Club Executive Park
Glen Carbon, IL 62034-1702
Phone: (618) 659-5567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036121823 (IL)

Record details

NPI number1356849566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alisha White — Physician/Owner · (618) 659-5567
NPI enumeratedJanuary 23, 2018
Last updated in NPPESFebruary 16, 2018
Mailing address4 Country Club Executive Park, Glen Carbon, IL 62034-1702

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