| Sunflower Clinical Group Ltd | |
|
1740 Ridge Ave Ste Ll15a Evanston IL 60201-5919 | |
| (773) 569-2689 | |
| Not Available |
| Full Name | Sunflower Clinical Group Ltd |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1740 Ridge Ave Ste Ll15a, Evanston, Illinois |
| Authorized Official Name and Position | Jacob Hogan (PRESIDENT) |
| Authorized Official Contact | 3124046065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunflower Clinical Group Ltd 1740 Ridge Ave Ste Ll15a Evanston IL 60201-5919 Ph: () - | Sunflower Clinical Group Ltd 1740 Ridge Ave Ste Ll15a Evanston IL 60201-5919 Ph: (773) 569-2689 |
| NPI Number | 1972258820 |
|---|---|
| Provider Enumeration Date | 02/18/2022 |
| Last Update Date | 02/18/2022 |
| Certification Date | 02/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972258820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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