Individual provider · Type 1 NPI

Carmen Chan

Dentist · Evergreen Park, IL

NPI number 1063335263 Active

Practice location

2803 W 95th St
Evergreen Park, IL 60805-2702

Call (312) 619-2736 Map

Mailing address

2922 S Lowe Ave
Chicago, IL 60616-3033

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019037384 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1063335263

Carmen Chan's National Provider Identifier is 1063335263, issued on Aug 3, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Evergreen Park, IL. The record was last updated on Aug 3, 2026.