SHANTAY DANIELLE THOMAS

MAYWOOD, IL
NPI1558756452
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  125067342)
Enumeration Date2015-03-30
Last Update Date2021-04-30
Business Address
SHANTAY DANIELLE THOMAS MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 706-302-7441
Mailing Address
SHANTAY DANIELLE THOMAS MD
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 706-302-7441
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