IndividualActive
Kenneth Chan, M.D.
NPI 1124446117 · Family Medicine Physician · Maywood, IL
Kenneth Chan, M.D. is a Family Medicine Physician provider in Maywood, IL (NPI 1124446117).
Provider details
- NPI number
- 1124446117
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 125065913 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2160 S. First Avenue
Loyola Outpatient Center, 4300
Maywood, IL 60153
Phone: (708) 216-6006
Fax: (708) 216-2683
Street-level locationGet directions
Mailing address
2160 S. First Avenue
Maywood, IL 60153
Registry dates
- Enumerated
- 2014-04-07
- Last updated
- 2014-09-26
Frequently asked questions
- What is Kenneth Chan's NPI number?
- Kenneth Chan's National Provider Identifier (NPI) is 1124446117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Chan's specialty?
- Kenneth Chan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kenneth Chan located?
- Kenneth Chan's practice location on file with NPPES is 2160 S. First Avenue, Maywood, IL 60153.
- What is Kenneth Chan's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Chan is (708) 216-6006.
- Is Kenneth Chan's NPI active?
- Yes — Kenneth Chan's NPI (1124446117) is active in the NPPES registry as of the last update on 2014-09-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.