Individual provider Active NPI

Cerise Jessica Bush, MD

  • Obstetrics Physician
  • Frankfort, IL
National Provider Identifier
1053567099
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
036122472 Issued in IL
Practice address
222 Colorado Ave
Frankfort, IL 60423-1334
Phone
(815) 469-6646
Fax
(815) 469-6647
NPI assigned
Aug 11, 2008
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 036122472 IL Primary

Addresses

Primary practice location

222 Colorado Ave
Frankfort, IL 60423-1334

Mailing address

222 Colorado Ave
Frankfort, IL 60423-1334
Phone (815) 469-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100614000081 IL Practitioner - Obstetrics/Gynecology 9436289725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John G Bush DO LTDGroup PAC ID 0840339537, 3 clinicians
Midwest Center for Women's Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

222 Colorado Ave
Frankfort, IL 60423-1334
Phone (815) 469-6646

350 S Northwest Hwy
Park Ridge, IL 60068-4262
Phone (847) 825-8108

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Center for Women's Health Care, LTD. Obstetrics & Gynecology CurrentSince Nov 1, 2025 Accepting new patients
John G. Bush, DO LTD Obstetrics & Gynecology CurrentSince Feb 24, 2010 Accepting new patients

Locations

222 Colorado Ave
Frankfort, IL 60423
Phone (815) 469-2123

1890 Silver Cross Blvd
Ste 420
New Lenox, IL 60451
Phone (815) 320-3520

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

250 Center Dr
Ste 101
Vernon Hills, IL 60061
Phone (847) 918-7050

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1053567099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231334",
            "telephone_number": "815-469-6646",
            "fax_number": "815-469-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 COLORADO AVE",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231334",
            "telephone_number": "815-469-6646",
            "fax_number": "815-469-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "CERISE",
        "middle_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-11",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "IL",
            "license": "036122472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

Verify at the official NPI Registry.