Organization
TRANSFORMATIONS CLINICAL ENTITY FLORIDA ILLINOIS AND OHIO SC
Active
Other names
Transformations Plastic Surgery, Pryorhealth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT D CARTER (MANAGER)
(815) 977-4403
Entity
Organization
Contact information
Practice address
5995 SPRING CREEK RD, ROCKFORD, IL 61114-6481
(815) 977-4403
(815) 977-5796
Mailing address
5995 SPRING CREEK RD, ROCKFORD, IL 61114-6481
(815) 977-4403
(815) 977-5796
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
036124349
IL
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
05/30/2013
Last updated
02/13/2026
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