Active NPI
Transformed Therapy & Wellness Center LLC
- Speech-Language Pathologist
- Oak Lawn, IL
National Provider Identifier
1275419012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- TRANSFORMED THERAPY & WELLNESS CENTER LLC
- Practice address
- 10448 S Pulaski Rd Ste 11
Oak Lawn, IL 60453-4895 - Phone
- (708) 578-2761
- NPI assigned
- Aug 15, 2025
- Last updated
- Nov 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Imani Khan, ED.D
- Title
- Owner/Ceo/Executive Director
- Phone
- (773) 888-9715
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary | ||
| Hearing and Speech Clinic/Center | 261QH0700X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
10448 S Pulaski Rd Ste 11
Oak Lawn, IL 60453-4895
Mailing address
10448 S Pulaski Rd Ste 11
Oak Lawn, IL 60453-4895
Phone (708) 578-2761
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Speech-Language Pathologist
- Oak Lawn, IL
- NPI 1740952753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793836800000",
"number": "1275419012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10448 S PULASKI RD STE 11",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534895",
"telephone_number": "708-578-2761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10448 S PULASKI RD STE 11",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604534895",
"telephone_number": "708-578-2761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMED THERAPY & WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-15",
"last_updated": "2026-11-05",
"certification_date": "2026-11-05",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "IMANI",
"authorized_official_title_or_position": "OWNER/CEO/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "773-888-9715",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.