Carmen Chan

Dentist · Evergreen Park, IL

Individual Active NPI

NPI number 1063335263

Practice location

2803 W 95TH St
Evergreen Park, IL 60805-2702
Phone
(312) 619-2736

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NPI record

NPI
1063335263
Entity type
Individual (Type 1)
Enumeration date
August 3, 2026
Last updated
August 3, 2026
Certified
August 3, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019037384 IL

Mailing address

2922 S Lowe Ave
Chicago, IL 60616-3033
Phone
(312) 619-2736

About Carmen Chan

Carmen Chan is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2803 W 95TH St, Evergreen Park, IL 60805-2702. The NPI number 1063335263 was assigned on August 3, 2026 and the record was last updated on August 3, 2026.

Carmen Chan lists a license in the registry: #019037384 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carmen Chan?

The NPI number is 1063335263.

What is the phone number of Carmen Chan?

The phone number listed for the practice location is (312) 619-2736.

Where is Carmen Chan located?

2803 W 95TH St, Evergreen Park, IL 60805-2702.

What is the taxonomy code for Carmen Chan?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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