Search › Illinois › 207Q00000X
Shantay Thomas, MD
NPI 1558756452 · on the registry since 2015
Practice
- Address
- 635 N Dearborn St Ste 100
Chicago, IL 60654 - Phone
- (312) 694-2273
- Fax
- (312) 694-2129
- Clinicians at this address
- 58
Additional practice sites
- 2160 S 1st Ave, Maywood, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois