Provider Demographics
NPI:1760496103
Name:ORHAN, SUSAN A (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:ORHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD DOB 1 STE 410
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1065
Mailing Address - Country:US
Mailing Address - Phone:847-781-1894
Mailing Address - Fax:847-781-1895
Practice Address - Street 1:1555 BARRINGTON RD STE 410
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1065
Practice Address - Country:US
Practice Address - Phone:847-781-1894
Practice Address - Fax:847-781-1895
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036111645207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01635793OtherBLUE CROSS BLUE SHIELD
IL036111645Medicaid
IL01635793OtherBLUE CROSS BLUE SHIELD
ILI32602Medicare UPIN