Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chanelle Shakira Simmons, MD

Individual provider Family Medicine Physician · NPI 1548897390

Chanelle Shakira Simmons, MD is a General Practice in Chicago, Illinois. Graduated from State University of New York Downstate Medical Center in 2021, 5 years ago. Practices with Qsm-Nc PA, a 19-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Trained at
State University of New York Downstate Medical Center
Licensed in
IL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1969 W Ogden Ave
Chicago, IL 60612-3765
Phone: (312) 864-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.088120 (IL)

Record details

NPI number1548897390
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2020
Last updated in NPPESAugust 4, 2026
Certification dateAugust 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2021 (5 years in practice)
Group practice Qsm-Nc Pa — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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