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KENNETH KIN KAN CHAN M.D.
NPI 1124446117
Family Medicine in Maywood, IL

Active since April 07, 2014
2160 S. FIRST AVENUE, LOYOLA OUTPATIENT CENTER, 4300, MAYWOOD, IL 60153(708) 216-6006(708) 216-2683 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Kin Kan Chan M.d. NPPES

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

KENNETH KIN KAN CHAN M.D. (NPI 1124446117) is an individual family medicine provider in Maywood, Illinois, licensed in Illinois (125065913) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1124446117
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH KIN KAN CHANCredential: M.D.
Location Address2160 S. FIRST AVENUE, LOYOLA OUTPATIENT CENTER, 4300Maywood, IL 60153
Mailing Address2160 S. First Avenue, Loyola Outpatient Center, 4300Maywood, IL 60153 · (708) 216-6006 · Fax (708) 216-2683
Phone(708) 216-6006
Fax(708) 216-2683
Sole ProprietorNo
Enumeration DateApril 7, 2014
Last NPPES UpdateSeptember 26, 2014
✔ NPI 1124446117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125065913
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2160 S. FIRST AVENUE, Maywood, IL 60153
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Other Providers at the Same Location NPPES 7

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

GEOFFREY SILVER MD
Surgery (Surgical Critical Care)
2160 S. FIRST AVENUE, BLDG 110, 3RD FLOOR
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. EUGENE SUH M.D.
Pediatrics
2160 S. FIRST AVENUE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PATRICIA LEE M.D.
Student in an Organized Health Care Education/Training Program
2160 S. FIRST AVENUE, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Cook County (708) 216-4943
DR. BRETT PORTER M.D.
Internal Medicine
2160 S. FIRST AVENUE, LOYOLA UNIVERSITY MEDICAL CENTER
MAYWOOD, IL 60153
Cook County (708) 216-8757
APARNA SHARMA M.D.
Psychiatry & Neurology (Psychiatry)
2160 S. FIRST AVENUE
MAYWOOD, IL 60153
Cook County (708) 216-3750
LORETTA ELIZABETH LATTYAK R.N.
Registered Nurse (Pediatrics)
2160 S. FIRST AVENUE
MAYWOOD, IL 60153
Cook County (708) 267-8890
HEIDI DEYRO
Pediatrics
2160 S. FIRST AVENUE
MAYWOOD, IL 60153
Cook County (708) 216-3282

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 Kenneth Chan's NPI number?

The NPI number for Kenneth Chan is 1124446117. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Kenneth Chan located?

Kenneth Chan practices at 2160 S. First Avenue Loyola Outpatient Center, 4300, Maywood, IL 60153. The listed phone number is (708) 216-6006.

What is Kenneth Chan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Chan was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.