Organization Active NPI

Sunflower Clinical Group LTD

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1972258820
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNFLOWER CLINICAL GROUP LTD
Practice address
1740 Ridge Ave Ste Ll15A
Evanston, IL 60201-5919
Phone
(773) 569-2689
NPI assigned
Feb 18, 2022
Last updated
Feb 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jacob HoganNPI 1083139554
Title
President
Phone
(312) 404-6065

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1740 Ridge Ave Ste Ll15A
Evanston, IL 60201-5919

Mailing address

1740 Ridge Ave Ste Ll15A
Evanston, IL 60201-5919

National Provider Directory

National Provider Directory
Tax ID family
Sunflower Clinical Group LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1740 Ridge Ave
Ste LL15A
Evanston, IL 60201
Phone (312) 656-2505

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1972258820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE LL15A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 RIDGE AVE STE LL15A",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015919",
            "telephone_number": "773-569-2689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER CLINICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-404-6065"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.