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NPI Code Detail

MEDICARE: CENTER FOR TRANSFORMATION

MEDICARE: CENTER FOR TRANSFORMATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084B0040XBehavioral Neurology & Neuropsychiatry Physician
22084F0202XForensic Psychiatry Physician
32084P0802XAddiction Psychiatry Physician
42084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1497616353
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR TRANSFORMATION
Provider Business Mailing Address
First Line : 8123 S COTTAGE GROVE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60619-5103
Country : US
Telephone Number : 773-968-4222
Fax Number :
Provider Business Practice Location Address
First Line : 8123 S COTTAGE GROVE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60619-5103
Country : US
Telephone Number : 773-968-4222
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : AMER MOSTAFA
Credential :
Telephone Number : 773-968-4222
Provider Enumeration Date : 11/20/2025
Last Update Date : 11/20/2025

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Directions to “CENTER FOR TRANSFORMATION ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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