Individual provider Active NPI

Siamirelis Nambo, MSW

  • Clinical Social Worker
  • Oak Brook, IL
National Provider Identifier
1811674310
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.029450 Issued in IL
Practice address
125 Windsor Dr Ste 111
Oak Brook, IL 60523-4081
Phone
(163) 072-8174
NPI assigned
Jun 28, 2023
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.029450 IL Primary

Addresses

Primary practice location

125 Windsor Dr Ste 111
Oak Brook, IL 60523-4081

Mailing address

125 Windsor Dr Ste 113
Oak Brook, IL 60523-4082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251203002942 IL Practitioner - Clinical Social Worker 5698125011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grace Integrated LLCGroup PAC ID 7911272901, 18 clinicians

Practice addresses (Care Compare)

125 Windsor Dr
Suite 113
Oak Brook, IL 60523-4082
Phone (630) 728-1744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Integrated, LLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

2500 S Highland Ave
Ste 325
Lombard, IL 60148
Phone (630) 495-9810

125 Windsor Dr
Ste 111
Oak Brook, IL 60523
Phone (630) 313-9741

125 Windsor Dr
Ste 113
Oak Brook, IL 60523
Phone (630) 728-1744

414 Plaza Dr
Ste 301
Westmont, IL 60559
Phone (630) 728-1744

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1811674310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WINDSOR DR STE 113",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WINDSOR DR STE 111",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605234081",
            "telephone_number": "163-072-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBO",
        "first_name": "SIAMIRELIS",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.029450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.