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

Shantay Danielle Thomas, MD

Individual provider Family Medicine Physician · NPI 1558756452

Shantay Danielle Thomas, MD is a Family Practice in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
Specialties on file
2
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

635 N Dearborn St Ste 100
Chicago, IL 60654-4618
Phone: (312) 694-2273
Fax: (312) 694-2129
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (706) 302-7441

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125067342 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036146063 (IL)

Record details

NPI number1558756452
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2015
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations17 on file with Medicare

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