Individual provider Active NPI

Maggie Chan, DMD

  • Dentist
  • Cicero, IL
National Provider Identifier
1144141011
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019037360 Issued in IL
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.

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

OrganizationSpecialtyStatusNew patients
Braces Town PC Past Accepting new patients
Image Dental LLC Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019037360 IL Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.