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Organization
TRANSFORMATIVE HEALTHCARE LLC
Active
Organization
TRANSFORMATIVE HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISHA ALLEN WHITE MD (PHYSICIAN/OWNER)
(618) 659-5567
Entity
Organization
Contact information
Practice address
4 COUNTRY CLUB EXECUTIVE PARK, GLEN CARBON, IL 62034-1702
(618) 659-5567
Mailing address
4 COUNTRY CLUB EXECUTIVE PARK, GLEN CARBON, IL 62034-1702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036121823
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467600155
INDIVIDUAL NPI
—
Enumeration date
01/23/2018
Last updated
02/16/2018
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