Active NPI
Maggie Chan, DMD
- Dentist
- Cicero, IL
National Provider Identifier
1144141011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019037360
- Practice address
- 3020 S Cicero Ave
Cicero, IL 60804-3638 - Phone
- (708) 863-2000
- NPI assigned
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Cicero, IL
- NPI 1881169134
-
- General Practice Dentistry
- Cicero, IL
- NPI 1063789584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braces Town PC | Past | Accepting new patients | |
| Image Dental LLC | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019037360 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3020 S Cicero Ave
Cicero, IL 60804-3638
Mailing address
3020 S Cicero Ave
Cicero, IL 60804-3638
Phone (708) 863-2000
Other practice location 1
7250 S Cicero Ave Ste F
Chicago, IL 60629-5849
Phone (708) 496-8896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 29, 2026.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1144141011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 S CICERO AVE",
"city": "CICERO",
"state": "IL",
"postal_code": "608043638",
"telephone_number": "708-863-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 S CICERO AVE",
"city": "CICERO",
"state": "IL",
"postal_code": "608043638",
"telephone_number": "708-863-2000"
}
],
"practiceLocations": [
{
"address_1": "7250 S Cicero Ave Ste F",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606295849",
"country_code": "US",
"telephone_number": "708-496-8896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAN",
"first_name": "MAGGIE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-24",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019037360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cicero, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.