Addie Sunmbo Smith, RN - Registered Nurse in South Holland, IL

Addie Sunmbo Smith, RN is a Registered Nurse based in South Holland, Illinois. Addie Sunmbo Smith is licensed to practice in Illinois (license number 041.380730) and her current practice location is 15475 S Park Ave Ste 110, South Holland, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 321-8218.

NPI number for Addie Sunmbo Smith is 1922520683 and her current mailing address is 15475 S Park Ave Ste 110, South Holland, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922520683.

Contact Information

Addie Sunmbo Smith, RN
15475 S Park Ave Ste 110,
South Holland, IL 60473-1378
(708) 321-8218
(708) 321-8219

Map and Direction




Provider's Profile

Full NameAddie Sunmbo Smith
GenderFemale
SpecialityRegistered Nurse
Location15475 S Park Ave Ste 110, South Holland, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922520683
  • Provider Enumeration Date: 07/13/2017
  • Last Update Date: 07/13/2017

Medical Identifiers

Medical identifiers for Addie Sunmbo Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922520683NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041.380730 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Addie Sunmbo Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Addie Sunmbo Smith, RN
15475 S Park Ave Ste 110,
South Holland, IL 60473-1378

Ph: () -
Addie Sunmbo Smith, RN
15475 S Park Ave Ste 110,
South Holland, IL 60473-1378

Ph: (708) 321-8218

Reviews and Comments


Registered Nurse Nurses in South Holland, IL

Angella Webb, RN, MSN, FNP-BC
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Brittaney Solomon,
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Suliyat Idowu,
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Medicare: Medicare Enrolled
Practice Location: 16413 Betty Ln, South Holland, IL 60473
Phone: 708-953-5356    
Laurie Bowen, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 16058 Michigan Ave, South Holland, IL 60473
Phone: 773-510-8205    

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