SHANTAY DANIELLE THOMAS

CHICAGO, IL
NPI1558756452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125067342)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  036146063)
Enumeration Date2015-03-30
Last Update Date2024-10-09
Business Address
SHANTAY DANIELLE THOMAS MD
635 N DEARBORN ST STE 100
CHICAGO, IL 60654-4618
Phone number: 312-694-2273
Mailing Address
SHANTAY DANIELLE THOMAS MD
635 N DEARBORN ST STE 100
CHICAGO, IL 60654-4618
Phone number: 312-694-2273