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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CARMEN CHAN
NPI 1063335263
Dentist in Evergreen Park, IL

Active since August 03, 2026
2803 W 95TH ST, EVERGREEN PARK, IL 60805(312) 619-2736 Get Directions Write a Review

NPPES record added: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carmen Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN CHAN (NPI 1063335263) is an individual dentist in Evergreen Park, Illinois, licensed in Illinois (019037384) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1063335263
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameCARMEN CHAN
Location Address2803 W 95TH STEvergreen Park, IL 60805-2702
Mailing Address2922 S Lowe AveChicago, IL 60616-3033 · (312) 619-2736
Phone(312) 619-2736
Sole ProprietorYes
Enumeration DateAugust 3, 2026
NPPES CertifiedAugust 3, 2026
✔ NPI 1063335263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019037384
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2803 W 95TH ST, Evergreen Park, IL 60805
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER LINDSAY CZERWIEN RDH
Dental Hygienist
2803 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 425-1134
FAMILY DENTAL CARE OF EVERGREEN PARK
Dentist
2803 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 425-1134
MRS. DIMITRA PETRAKOS RDH
Dental Hygienist
2803 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 425-1134
DR. STEFAN DUBAS DDS
Dentist (General Practice)
2803 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 425-1134
MADISON BREWSTER DMD
Dentist
2803 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 419-1402
DR. BRANDON COHEN DMD
Dentist (General Practice)
2803 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 419-1402
IYAD S OMAR R.D.H, B.S.
Dental Hygienist
2803 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 425-1134
KANDYCE LYNZE GREEN R.D.H
Dental Hygienist
2803 W 95TH ST
EVERGREEN PARK, IL 60805
Cook County (708) 425-1134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Chan's NPI number?

The NPI number for Carmen Chan is 1063335263. It was assigned to this individual provider in the NPPES registry on August 3, 2026.

Where is Carmen Chan located?

Carmen Chan practices at 2803 W 95th St, Evergreen Park, IL 60805. The listed phone number is (312) 619-2736.

What is Carmen Chan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Carmen Chan was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.