Individual
ADDIE SUNMBO SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15475 S PARK AVE STE 110, SOUTH HOLLAND, IL 60473-1378
(708) 321-8218
(708) 321-8219
Mailing address
15475 S PARK AVE STE 110, SOUTH HOLLAND, IL 60473-1378
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.380730
IL
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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