Tom Chan, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

5607 S Pulaski Rd
Chicago, IL 60629-4419

Phone

(773) 585-1980

NPI assigned

Oct 18, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulaski Dental Center P.C

  dba pulaski dental

  • Dentist
  • Chicago, IL
  • NPI 1467626044
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407845936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294419",
            "telephone_number": "773-585-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294419",
            "telephone_number": "773-585-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "TOM",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sery Chan
• Shu B. Chan, M.D.
• Shu Yen Chan
• Susan Ae Chan, LPC
• Suzanne Chan, DNP,FNP-BC, PMHNP-BC
• Vanessa Chan
• Victor Wai Yuen Chan, D.O.
• Wallace Chan, O.D.
• Yui Y Chan, M.D.
• Hannah Claire Chancy, CPNP-AC

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.