MEDICARE: SUNFLOWER WELLNESS, PLLC

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
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1922951953
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNFLOWER WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	5022 W CONGRESS PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60644-4861
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5022 W CONGRESS PKWY
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60644-4861
Country	:	US
Telephone Number	:	773-809-7494
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SOLE CLINICIAN
Name	:	LANICIA WILLIAMS
Credential	:
Telephone Number	:	773-809-7494

Provider Enumeration Date	:	02/18/2026
Last Update Date	:	02/18/2026

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