Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orchid Suite Medical Group

Organization Obstetrics & Gynecology Physician · NPI 1063555456

Orchid Suite Medical Group is an Obstetrics & Gynecology Physician in Chicago, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

8012 S Crandon Ave Ste 100
Chicago, IL 60617-1124
Phone: (773) 356-5415
Fax: (773) 768-6141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3330 W 177th St, Hazel Crest, IL 60429-2184 — (708) 333-3030

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 03643976 (IL)

Record details

NPI number1063555456
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ernest Hayes — President · (312) 565-2267
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024
Mailing address400 E Randolph St, Suite 3730, Chicago, IL 60601-7329

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